Individual
DR. ROBERT JASON PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
400 S COTTONWOOD DR, SUITE B, RICHARDSON, TX 75080-5708
(972) 231-6661
(972) 231-3161
Mailing address
400 S COTTONWOOD DR, SUITE B, RICHARDSON, TX 75080-5708
(972) 231-6661
(972) 231-3161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19346
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
L8883
TX
Other
Enumeration date
03/17/2006
Last updated
07/13/2007
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