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Individual

DR. ROBERT P WAYMENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
301 SCOTT AVE, STE#3, RUPERT, ID 83350-5100
(208) 436-6406
(208) 436-9678
Mailing address
PO BOX 338, RUPERT, ID 83350-0338
(208) 436-6406
(208) 436-9678

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3965
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807469000
ID
Enumeration date
08/08/2006
Last updated
03/08/2016
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