| NPI | 1992536478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANE GREY MILLS Dentist 918-642-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-11-26 |