| NPI | 1902104474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MATTHEW STEPNIEWSKI Owner 405-692-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5896) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |