Individual
DR. ROBERT M ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1909 MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-9111
(601) 638-0013
Mailing address
PO BOX 820089, VICKSBURG, MS 39182-0089
(601) 638-9111
(601) 638-0013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1513-72
MS
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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