| 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 |