DR. Preston Allen Mercurius Banoub, DMD

NPI #1578138376 in Ardmore, Oklahoma

Provider Information

NPI Number
1578138376
Entity Type
Individual
Name
DR. Preston Allen Mercurius Banoub, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
May 24, 2021
Last Updated
Jun 23, 2025

Practice Location

Address
2730 12TH AVE NW
ZIP Code
73401-1271
Phone
(580) 226-0010

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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