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Individual

DR. ROBERT TODD MABRY

Active
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Individual

DR. ROBERT TODD MABRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
19654
OH
1223E0200X
Endodontics
Primary
8592
IN

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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