| NPI | 1922366475 |
|---|---|
| Doing Business As | SHAWNEE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANAITA N MULLASSERIL President 405-878-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 172) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-07-04 |