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Organization

ROBERT ERDMAN, D.D.S.,P.A.

Active
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Organization

ROBERT ERDMAN, D.D.S.,P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILENE PAWLIK (INSURANCECOORDINATOR)
(386) 775-1552
Entity
Organization

Contact information

Practice address
2578 S VOLUSIA AVE, ORANGE CITY, FL 32763-9124
(386) 775-1552
Mailing address
2578 S VOLUSIA AVE, ORANGE CITY, FL 32763-9124
(386) 775-1552

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11444
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598094
UNITED CONCORDIA
—
01
—
63042
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
11/29/2012
Last updated
11/29/2012
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