Individual
DR. ROBERT KEITH BRISOLARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6888 E 133 AVE., HOLDENVILLE, OK 74848-9020
(405) 379-6400
(405) 379-3364
Mailing address
6888 E 133 RD, HOLDENVILLE, OK 74848-9020
(405) 379-6400
(405) 379-3364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5066
OK
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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