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Individual
DR. ROBERT DERELL DURR
Active
Individual
DR. ROBERT DERELL DURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025548
IL
332B00000X
Durable Medical Equipment & Medical Supplies
019025548
IL
Other
Enumeration date
07/02/2008
Last updated
05/22/2019
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