Individual
DAVID J BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
421 NW 10TH, STE. 201-E, OKLAHOMA CITY, OK 73103
(405) 604-3745
(405) 946-2460
Mailing address
421 NW 10TH, STE. 201-E, OKLAHOMA CITY, OK 73103
(405) 604-3745
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4217
OK
Other
Enumeration date
07/20/2006
Last updated
08/31/2015
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