| 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 |