Organization
WINDMILL DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX DWAYNE BIRD D.D.S. (DENTIST)
(918) 910-5227
Entity
Organization
Contact information
Practice address
2313 E OKMULGEE ST, MUSKOGEE, OK 74403-5924
(918) 910-5227
Mailing address
2313 E. OKMULGEE ST, MUSKOGEE, OK 74403
(918) 910-5227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3833
OK
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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