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Individual

DR. ROBERT R. THOUSAND III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
10 SAINT JOHNS MEDICAL PK DR, STE. C, SAINT AUGUSTINE, FL 32086-5201
(904) 797-3044
(904) 797-3045
Mailing address
10 ST. JOHNS MEDICAL PARK DRIVE, SUITE C, ST. AUGUSTINE, FL 32086
(904) 797-3044
(904) 797-3045

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN 14671
FL

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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