Individual
LARRY WAYNE ROBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3000 N ATLANTIC AVE, SUITE 103, COCOA BEACH, FL 32931
(321) 784-1300
Mailing address
18 FAIRWAY DR, COCOA BEACH, FL 32931
(321) 783-0868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4941
FL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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