Kickingbird Dental
Kickingbird Dental is a Dentist in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.
- Licensed in
- OK
- In the registry since
- 2014
Practice location Address checks out
1333 E Danforth RdEdmond, OK 73034-3201
Phone: (405) 359-9696
Fax: (405) 359-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence OK4913 (OK) |
|---|
Record details
| NPI number | 1174935142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ashley Dussault — Office Manager · (405) 359-9696 |
| NPI enumerated | May 27, 2014 |
| Last updated in NPPES | May 27, 2014 |
| Mailing address | 1333 E Danforth Rd, Edmond, OK 73034-3201 |
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