| NPI | 1952401796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER PAGE Practice Manager 405-271-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 5062) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-10-20 |