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Individual
ROBERT A BRIDGES
Active
Individual
ROBERT A BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
011425
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838508
UNITED CONCORDIA
GA
Enumeration date
10/24/2006
Last updated
07/08/2007
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