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Organization
CLASSEN FAMILY DENTISTRY PC
Active
Organization
CLASSEN FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM KIRBY DDS (OWNER)
(405) 236-4755
Entity
Organization
Contact information
Practice address
3701 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-2839
(405) 236-4755
Mailing address
3701 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-2839
(405) 236-4755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4368
OK
Other
Enumeration date
05/01/2008
Last updated
08/23/2011
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