GRAND DENTAL EL RENO, PLLC

EL RENO, OK
NPI1205131141
Entity TypeOrganization
Authorized ContactMICHAEL K KIRK
Member
405-245-4828
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5116)
Enumeration Date2011-01-25
Last Update Date2011-01-25
Business Address
GRAND DENTAL EL RENO, PLLC
1320 W ELM ST
EL RENO, OK 73036-4931
Phone number: 405-262-6737
Mailing Address
GRAND DENTAL EL RENO, PLLC
1320 W ELM ST
EL RENO, OK 73036-4931
Phone number: 405-262-6737