Individual
ROBERT A. GRUENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
133 W BLUE STARR DR, CLAREMORE, OK 74017-4226
(918) 342-3477
(918) 341-9670
Mailing address
14315 E 465 RD, CLAREMORE, OK 74017-2776
(918) 342-5038
(918) 341-9670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4601
OK
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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