| NPI | 1992054167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANNE MARIE DOWNEY Business Manager 405-570-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2929) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |