institution
Robert L Miracle, Dmd, Pc
Dental Clinic/Center in Lawton, Oklahoma
NPI 1053635615

Robert L Miracle, Dmd, Pc is a Dental Clinic/Center based in Lawton, OK and is specialized in Dental. Robert L Miracle, Dmd, Pc practices in Lawton, OK. The NPI Number for Robert L Miracle, Dmd, Pc is 1053635615 and holds a License No. 4 5347 (Oklahoma).

The current practice location address for Robert L Miracle, Dmd, Pc is 1810 Nw Ferris Ave, Lawton, OK and can be reached out via phone at 580-355-1314 and via fax at 580-355-1027.

Location: 1810 Nw Ferris Ave, Lawton, OK, 73507-5625
institution
Provider Profile Details
NPI Number
1053635615
Provider Name
Robert L Miracle, Dmd, Pc
Credential
Provider Entity Type
Organization
Address
1810 Nw Ferris Ave, Lawton, OK, 73507-5625
Phone Number
580-355-1314
Fax Number
580-355-1027
Provider Enumeration Date
03/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100124580B 05 OK
institution
Provider Business Practice Location Address Details
Address
1810 Nw Ferris Ave
City
State
Zip
73507-5625
Phone Number
580-355-1314
Fax Number
580-355-1027
person
Provider Business Mailing Address Details
Address
1810 Nw Ferris Ave
City
State
Zip
73507-5625
Phone Number
580-355-1314
Fax Number
580-355-1027
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
4 5347 (Oklahoma)
Definition
Definition to come...
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