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Individual

ROBERT SCHROETLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, FACP

Contact information

Practice address
1215 E 6TH ST, MOSCOW, ID 83843-3705
(208) 882-6570
Mailing address
2350 3RD AVE, CLARKSTON, WA 99403-1315

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D-4284
ID
1223P0700X
Prosthodontics
D9413
OR
1223P0700X
Prosthodontics
DE00010231
WA

Other

Enumeration date
01/20/2010
Last updated
01/16/2012
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