| NPI | 1932248176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL DWAYNE REED President 918-341-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3952) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-09-16 |