NPI | 1073775573 |
---|---|
Doing Business As | GRAND DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | MICHAEL K KIRK Owner 405-848-3719 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 5116) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2008-06-26 |