NPI | 1902083850 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY HONEYCUTT Office Manager 405-330-2123 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5600) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2008-01-23 |