| NPI | 1962702555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN G. CHASTAIN Owner 405-381-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5944) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |