| NPI | 1932374733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM MILLER Owner 405-632-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 5173) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |