Organization
DR ROBERT SPATAFORA DDS
Active
Other names
Dr Robert E Spatafora, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E SPATAFORA DDS (DENTIST)
(318) 325-5764
Entity
Organization
Contact information
Practice address
2212 JUSTICE ST, MONROE, LA 71201-3620
(318) 325-5764
(318) 325-7940
Mailing address
2212 JUSTICE ST, MONROE, LA 71201-3620
(318) 325-5764
(318) 325-7940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
3206
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29653
—
LA
Enumeration date
08/14/2018
Last updated
05/08/2024
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