KICKINGBIRD DENTAL

EDMOND, OK
NPI1174935142
Entity TypeOrganization
Authorized ContactASHLEY DUSSAULT
Office Manager
405-359-9696
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  OK4913)
Enumeration Date2014-05-27
Last Update Date2014-05-27
Business Address
KICKINGBIRD DENTAL
1333 E DANFORTH RD
EDMOND, OK 73034-3201
Phone number: 405-359-9696
Mailing Address
KICKINGBIRD DENTAL
1333 E DANFORTH RD
EDMOND, OK 73034-3201
Phone number: 405-359-9696