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Individual

ROBERT A BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1006 LAMOND AVE STE C, DURHAM, NC 27701-2074
(919) 794-7210
(919) 794-7211
Mailing address
108 POLYANTHUS PL, HOLLY SPRINGS, NC 27540-7582
(919) 762-9194

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7755
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5903523
NC
Enumeration date
12/13/2006
Last updated
05/03/2011
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