Individual
ROBERT E. CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1201 N STONEWALL AVE, ROOM 494, OKLAHOMA CITY, OK 73117-1214
(405) 271-5714
(405) 271-2405
Mailing address
1201 N STONEWALL AVE, ROOM 494, OKLAHOMA CITY, OK 73117-1214
(405) 271-5714
(405) 271-2405
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4903
OK
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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