Individual
DR. JERRY WAYNE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9224 S TOLEDO CT, TULSA, OK 74137-2743
(918) 492-7263
(918) 492-7379
Mailing address
9224 S TOLEDO CT, TULSA, OK 74137-2743
(918) 492-7263
(918) 492-7379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5329
OK
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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