| NPI | 1992368278 |
|---|---|
| Doing Business As | DBA ON THE CUSP MIDTOWN |
| Entity Type | Organization |
| Authorized Contact | RYAN SCOTT ROBERTS CEO 918-970-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-11-22 |