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Organization

ROBERT T. DEWAR, DDS., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT T DEWAR DDS (OWNER)
(417) 869-6055
Entity
Organization

Contact information

Practice address
1704 N ROBBERSON AVE, SPRINGFIELD, MO 65803-2845
(417) 869-6055
(417) 869-4269
Mailing address
1704 N ROBBERSON AVE, SPRINGFIELD, MO 65803-2845
(417) 869-6055
(417) 869-4269

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
11306
MO

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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