Individual
DR. ROBERT LEE TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5510 MEDICAL CIR, MADISON, WI 53719-1239
(608) 274-0028
Mailing address
W11520 ISLAND VIEW CT, LODI, WI 53555-9675
(608) 592-1520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
592
WI
1223G0001X
General Practice Dentistry
Primary
592G
WI
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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