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Individual

DR. MICHAEL J KIERL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
6621 W HEFNER RD, OKLAHOMA CITY, OK 73162
(405) 787-2001
Mailing address
6621 W HEFNER RD, OKLAHOMA CITY, OK 73162
(405) 787-2001

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
112
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
820362
UNITED CONCORDIA
Enumeration date
12/30/2005
Last updated
09/14/2007
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