Individual
DR. ROBERT DUANE EDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 N NOBLE AVE, WATONGA, OK 73772-3811
(580) 623-7752
(580) 623-5020
Mailing address
205 N NOBLE AVE, PO BOX 25, WATONGA, OK 73772-3811
(580) 623-7752
(580) 623-5020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4596
OK
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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