| NPI | 1952766206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT G RENFROW Periodontist 405-329-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OK 5814) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |