| 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 |