Individual
DR. JESSIE KIERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E 33RD ST, EDMOND, OK 73013-4602
(053) 415-0204
Mailing address
2509 THUNDERWIND CIR, EDMOND, OK 73034-6880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6887
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
270
OK
Other
Enumeration date
12/05/2016
Last updated
08/21/2024
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