Individual
DR. COLIN JAMES ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2510 E INDEPENDENCE ST STE 600, SHAWNEE, OK 74804-1839
(405) 273-2002
Mailing address
2510 E INDEPENDENCE ST STE 600, SHAWNEE, OK 74804-1839
(405) 273-2002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7778
OK
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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