Individual
DR. ROBERT ROY THOUSAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 SAINT JOHNS MEDICAL PK DR, SUITE A, ST AUGUSTINE, FL 32086-5201
(904) 794-1824
(904) 797-7739
Mailing address
10 SAINT JOHNS MEDICAL PK DR, SUITE A, ST AUGUSTINE, FL 32086-5201
(904) 794-1824
(904) 797-7739
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7967
FL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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