Individual
ROBERT JEROME DIBAUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6175 SOM CENTER RD, SUITE 240, SOLON, OH 44139-2965
(440) 349-3844
(440) 349-3869
Mailing address
6175 SOM CENTER RD, SUITE 240, SOLON, OH 44139-2965
(440) 349-3844
(440) 349-3869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.015420
OH
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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