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Organization

CASEY A ROBERTS DDS PC

Active
Other names
Magnolia City Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CASEY A ROBERTS D.D.S. (OWNER/DENTIST)
(580) 924-3330
Entity
Organization

Contact information

Practice address
2425 W. UNIVERSITY BLVD., STE. 102, DURANT, OK 74701
(580) 924-3330
(580) 924-3339
Mailing address
2425 W. UNIVERSITY BLVD., STE. 102, DURANT, OK 74701
(580) 924-3330
(580) 924-3339

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5808
OK

Other

Enumeration date
11/28/2007
Last updated
02/24/2017
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