Individual
JAMES ANDREW MACROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 E JEFFERSON ST, MANGUM, OK 73554-4202
(580) 782-2552
(580) 782-9266
Mailing address
110 W HARRISON ST, MANGUM, OK 73554-3002
(580) 782-2552
(580) 782-9266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2808
OK
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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