| NPI | 1922020346 |
|---|---|
| Other Name | TALLGRASS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GARY H SMITH Dentist/President 918-280-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5156) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |