NPI | 1942475876 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLA J STANFORD Financial Coordinator 918-749-6841 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3748) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |