Organization
KES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIRE ESTENIUK DDS, MS (OWNER/OPERATOR)
(405) 509-8932
Entity
Organization
Contact information
Practice address
609 S. KELLY AVE., STE. A-1, EDMOND, OK 73003
(405) 509-8932
(405) 531-0808
Mailing address
609 S. KELLY AVE., STE. A-1, EDMOND, OK 73003
(405) 509-8932
(405) 531-0808
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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