| NPI | 1962676817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN O GLENN Owner/Dentist 918-748-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 3665) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |