Dr. PRESTON ALLEN MERCURIUS BANOUB DMD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1578138376- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 2730 12TH AVE NW, ARDMORE, OK, 734011271
- Phone
- (580) 226-0010
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OK #25506