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Individual
ROBERT PAINTER
Active
Individual
ROBERT PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8755
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8755
DENTAL LICENSE NUMBER
SC
Enumeration date
07/20/2016
Last updated
07/20/2016
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