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Individual

ROBERTO V PISCHEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
21400 STATE HIGHWAY 59, ROBERTSDALE, AL 36567-3714
(251) 947-5811
(251) 947-7007
Mailing address
21400 STATE HIGHWAY 59, ROBERTSDALE, AL 36567-3714
(251) 947-5811
(251) 947-7007

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4192
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-90596
BLUE CROSS/BLUE SHIELD OF
AL
Enumeration date
08/01/2006
Last updated
07/08/2007
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