| NPI | 1982822268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MICHELLE HALLEY Co Owner 405-377-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5711) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-12-05 |