Individual
DAULTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1710 W WILLOW RD, SUITE 15, ENID, OK 73703-2438
(580) 234-6663
Mailing address
1710 W WILLOW RD, SUITE 15, ENID, OK 73703-2438
(580) 234-6663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6866
OK
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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