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Individual

DR. MEGAN THERESA ROBL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14856 PRESTON RD, DALLAS, TX 75254-6822
(816) 509-9186
Mailing address
14856 PRESTON RD, DALLAS, TX 75254-6822
(816) 509-9186

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2013-01019
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30519
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60715
KS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS040747
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
Q2701
TX
208600000X
Surgery Physician
43011098896
MI

Other

Enumeration date
06/29/2011
Last updated
06/01/2016
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