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Individual

DR. ROBERT E STORM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
142 KILBOURNE ST, BELLEVUE, OH 44811-1322
(419) 483-4020
Mailing address
PO BOX 428, BELLEVUE, OH 44811-0428
(419) 483-4020

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16956
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0517702
OH
Enumeration date
12/22/2005
Last updated
07/08/2007
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