Individual
ROBERT M HABERKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MBA
Contact information
Practice address
1987 ALLENDALE-FAIRFAX HWY, FAIRFAX, SC 29827
(803) 632-3301
Mailing address
1987 ALLENDALE-FAIRFAX HWY, FAIRFAX, SC 29827
(803) 632-3301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2002031756
MO
1223G0001X
General Practice Dentistry
Primary
SC6951
SC
Other
Enumeration date
10/25/2005
Last updated
05/05/2015
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