Mongrain, Robert Blaine

Mongrain, Robert Blaine is an individual health care provider with primary practice located at 8701 S Garnett Rd , Broken Arrow OK 74012-8852. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mongrain, Robert Blaine can be contacted via phone (918) 250-9528.

Contact Information

Primary practice address
8701 S Garnett Rd Broken Arrow OK 74012-8852
Phone: (918) 250-9528
Fax: (918) 250-9529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4301 Oklahoma

Profile Details

NPI number 1598731655
LBN Legal business name Mongrain, Robert Blaine
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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