| NPI | 1902140197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA STANFORD Financial COO Rdinator 918-749-6841 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 3341) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |