Tyson Heath Roulston, D.D.S Valid NPI
Individual provider · General Practice Dentistry · Drumright, OK
- NPI
- 1699039339
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6407 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-06-27
- Last updated
- 2012-06-27
Practice location
1226 W Broadway St
Drumright, OK 74030-5826
(918) 352-3312