| NPI | 1962677344 |
|---|---|
| Doing Business As | BEVINS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICAH JON BEVINS General Dentist 918-252-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |