| NPI | 1942572391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GREG WOODSON Owner 405-232-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4154) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |