| NPI | 1922317601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. NYQUIST Dentist 918-437-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4127) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |