Individual
DR. ROBERT MICHAEL WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
695 SAN ANTONIO AVE, MANY, LA 71449-3018
(318) 256-3641
(318) 256-0898
Mailing address
695 SAN ANTONIO AVE, MANY, LA 71449-3018
(318) 256-3641
(318) 256-0898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1847445
—
LA
01
—
717644
INSURANCE PROVIDER ID
LA
Enumeration date
07/26/2006
Last updated
07/01/2009
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