Individual
MR. DARYL ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15423 N JACKSON ST, DURANT, MS 39063-4003
(662) 653-3880
(662) 653-3890
Mailing address
15423 N JACKSON ST, DURANT, MS 39063-4003
(662) 653-3880
(662) 653-3890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
283794
MS
122300000X
Dentist
DNO14632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660253
—
MS
Enumeration date
09/27/2006
Last updated
01/27/2014
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