Individual
DR. ROBERT EDWARD STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
128 LILLY RD NE STE 125, OLYMPIA, WA 98506-7400
(360) 456-1200
(360) 456-0213
Mailing address
11407 136TH AVE E, PUYALLUP, WA 98374-2427
(360) 456-1200
(360) 456-0213
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
6468
NE
1223P0700X
Prosthodontics
Primary
DE00010932
WA
Other
Enumeration date
08/30/2005
Last updated
09/14/2020
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