DR. Robert Blaine Mongrain JR., DMD
NPI #1598731655 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1598731655
- Entity Type
- Individual
- Name
- DR. Robert Blaine Mongrain JR., DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8701 S GARNETT RD
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8852
- Phone
- (918) 250-9528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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