# GDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073775573
- **Authorized official:** DR. MICHAEL K KIRK D.D.S. (OWNER)
- **Authorized official phone:** (405) 848-3719

## Contact information

- **Practice address:** 1057 NW GRAND BLVD, OKLAHOMA CITY, OK 73118-6039
- **Practice address phone:** (405) 848-3719
- **Practice address fax:** (405) 848-9741
- **Mailing address:** 1057 NW GRAND BLVD, OKLAHOMA CITY, OK 73118-6039
- **Mailing address phone:** (405) 848-3719
- **Mailing address fax:** (405) 848-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5116 | OK | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 06/26/2008
