Individual
DR. ROBERT CRAIG SHAKESPEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
DEPT OF THE ARMY, DENTAL ACTIVITY STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Mailing address
9900 LINCOLN ST, SECOND FLOOR,, TACOMA, WA 98431-0001
(253) 966-7675
(253) 967-6459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00008786
WA
Other
Enumeration date
04/25/2006
Last updated
06/03/2008
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