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Individual

ROBERT STEPHEN ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
325 2ND AVE, SIDNEY, OH 45365-1283
(937) 492-1790
(937) 492-2167
Mailing address
325 2ND AVE, SIDNEY, OH 45365-1283
(937) 492-1790
(937) 492-2167

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14420
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0245407
OH
Enumeration date
01/30/2008
Last updated
01/30/2008
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