PRESTON ALLEN MERCURIUS BANOUB

ARDMORE, OK
NPI1578138376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  25506)
Enumeration Date2021-05-24
Last Update Date2025-06-23
Business Address
Dr. PRESTON ALLEN MERCURIUS BANOUB DMD
2730 12TH AVE NW
ARDMORE, OK 73401-1271
Phone number: 580-226-0010
Mailing Address
Dr. PRESTON ALLEN MERCURIUS BANOUB DMD
6447 RIVERDALE LN
GREENDALE, WI 53129-2853
Phone number: 262-271-2571
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