ROBERT L MIRACLE, DMD, PC

LAWTON, OK
NPI1053635615
Entity TypeOrganization
Authorized ContactROBERT MIRACLE
President
580-355-1314
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: OK  4 5347)
Enumeration Date2010-03-25
Last Update Date2010-03-25
Business Address
ROBERT L MIRACLE, DMD, PC
1810 NW FERRIS AVE
LAWTON, OK 73507-5625
Phone number: 580-355-1314
Mailing Address
ROBERT L MIRACLE, DMD, PC
1810 NW FERRIS AVE
LAWTON, OK 73507-5625
Phone number: 580-355-1314
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