Individual
DR. JOHN ROBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2616 NORTH DR, ABBEVILLE, LA 70510-4043
(337) 893-8048
(337) 893-8048
Mailing address
2616 NORTH DR, ABBEVILLE, LA 70510-4043
(337) 893-8048
(337) 893-8048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3024
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830241
—
LA
Enumeration date
04/11/2014
Last updated
04/11/2014
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