| NPI | 1932281268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DODGE Administrative Director 405-848-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-01-08 |