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1831418201
TERRY ROBERT ROOT
BROKEN ARROW, OK
NPI
1831418201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 3131)
Enumeration Date
2010-05-25
Last Update Date
2010-05-25
Business Address
DR. TERRY ROBERT ROOT D.D.S.
58 ST ANDREWS CIR
BROKEN ARROW, OK 74011-1107
Phone number: 918-252-0878
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Mailing Address
DR. TERRY ROBERT ROOT D.D.S.
58 ST ANDREWS CIR
BROKEN ARROW, OK 74011-1107
Phone number: 918-252-0878
Copy
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