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Individual
MR. ROBERT C JANISSE
Active
Individual
MR. ROBERT C JANISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7791
OR
1223G0001X
General Practice Dentistry
Primary
DE00009252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158867
L&I
WA
05
—
5038989
—
WA
01
—
8932835
CRIME VICTIMS
WA
Enumeration date
08/29/2006
Last updated
09/01/2021
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