| NPI | 1972756468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTI LEA LEVINSON Dentist 918-406-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5871) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |