| NPI | 1952547671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DOUGLAS OLIVER President 918-358-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4980) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |