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Individual

DR. JONATHAN DWYTE ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6910 ROANOKE RD, SHAWSVILLE, VA 24162
(910) 850-5432
Mailing address
6910 ROANOKE RD, SHAWSVILLE, VA 24162
(910) 850-5432

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416138
VA

Other

Enumeration date
07/05/2018
Last updated
07/05/2018
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