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Individual

MR. ROBERT DEWAYNE SCHROEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DENTUREST L.D.

Contact information

Practice address
1010 NE 7TH ST, GRANTS PASS, OR 97526-1420
(541) 476-7483
(541) 955-8029
Mailing address
1010 NE 7TH ST, GRANTS PASS, OR 97526-1420
(541) 476-7483
(541) 955-8029

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
174
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127824
OMAP
OR
Enumeration date
07/26/2006
Last updated
07/21/2022
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