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Organization
GDS, PLLC
Active
Organization
GDS, PLLC
Active
Other names
Grand Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K KIRK D.D.S. (OWNER)
(405) 848-3719
Entity
Organization
Contact information
Practice address
1057 NW GRAND BLVD, OKLAHOMA CITY, OK 73118-6039
(405) 848-3719
(405) 848-9741
Mailing address
1057 NW GRAND BLVD, OKLAHOMA CITY, OK 73118-6039
(405) 848-3719
(405) 848-9741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5116
OK
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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