| NPI | 1962586388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAINDA M CAMPLAIN Office Manager 580-224-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5565) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |