Gds, Pllc

NPI 1073775573 - Dentist - 122300000X

NPI Details
NPI 1073775573
Enumeration Date 06/26/2008
Last Updated 06/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL K MICHAEL
Position OWNER
Phone (405) 848-3719
Fax (405) 848-9741
Practice Location
1057 NW GRAND BLVD
OKLAHOMA CITY OK, 73118-6039, US
Phone (405) 848-3719
Fax (405) 848-9741
Business Location
1057 NW GRAND BLVD
OKLAHOMA CITY OK, 73118-6039, US
Phone (405) 848-3719
Fax (405) 848-9741
Toxanomy
Taxonomy Code 122300000X
License State Oklahoma
License Number 5116
Remove 1073775573 NPI Number
 

According to our database, Gds, Pllc NPI is 1073775573, taxonomy code is 122300000X and license number is 5116, license state is located at Oklahoma. Gds, Pllc physically located at 1057 Nw Grand Blvd, Oklahoma City OK, 73118-6039. NPI Number 1033115704 has the healthcare provider type.

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1073775573 NPI number is provided on an as is basis without warranty of any kind. 1073775573 is maintained by the National Plan & Provider Enumeration System. The contents of Gds, Pllc are for informational purposes only.