| NPI | 1992970990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HALL ROBERTS President 405-360-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OK 3814) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |