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Individual
DR. GEOFFREY A SKINNER
Active
Individual
DR. GEOFFREY A SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10425
OR
1223G0001X
General Practice Dentistry
DDS-09230
IA
Other
Enumeration date
07/31/2015
Last updated
11/17/2016
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