Individual
DR. ROBERT J. VENN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4213 DALE RD, B6, MODESTO, CA 95356-8505
(209) 543-6937
Mailing address
4213 DALE RD, B6, MODESTO, CA 95356-8505
(209) 543-6937
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26140
CA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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