| NPI | 1902112022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. REIFSTECK Owner 918-684-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4047) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-30 |