Organization · Type 2 NPI

Grand Avenue Dental Studio

Dental Clinic/Center · Chickasha, OK

NPI number 1356047922 Active

About NPI 1356047922

Grand Avenue Dental Studio's National Provider Identifier is 1356047922, issued on Feb 6, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chickasha, OK. The record was last updated on Feb 6, 2023.