Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 4729 | OK |
NPI | 1003096512 |
---|---|
Provider Name | Dr. Jana S Winfree |
First Address | Oklahoma City, OK 73139-1712 |
Second Address | Oklahoma City, OK 73139-1712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2007 |
Last Update Date | 13/11/2007 |