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Individual
DR. GARY WARBURTON
Active
Individual
DR. GARY WARBURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61 (TEACHING)
MD
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D0066077
MD
2086S0127X
Trauma Surgery Physician
D0066077
MD
Other
Enumeration date
02/15/2007
Last updated
02/20/2008
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