Individual
DR. ROBERT LLOYD VAN HOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
310 W LOSEY ST, BLDG 1535, SCOTT AFB, IL 62225-5250
(618) 256-6667
(618) 256-4427
Mailing address
310 W LOSEY ST, BLDG 1535, SCOTT AFB, IL 62225-5250
(618) 256-6667
(618) 256-4427
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30-01-7593
OH
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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