Individual
DR. JENNIFER G. ROBB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1612 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3617
(440) 960-1940
Mailing address
1612 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3617
(440) 960-1940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-9864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033721
—
OH
01
—
311633005-00
BUREAU OF WORKER'S COMPEN
OH
Enumeration date
05/28/2006
Last updated
07/08/2007
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