| NPI | 1992972228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI A. UTSLER Office Manager 405-224-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3609) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |