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Individual

DR. ROBERT ELMO NOSARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
26 GREEN VALLEY DRIVE, MOUNTAIN HOME, AR 72653-8102
(870) 425-6911
(870) 424-4891
Mailing address
26 GREEN VALLEY DR, MOUNTAIN HOME, AR 72653-8102
(870) 425-6911
(870) 424-4891

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1789
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
426266
UNITED CONCORDIA
AR
01
58903
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/19/2006
Last updated
07/08/2007
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