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Individual

MR. GREG LEE ROBIRTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LD

Contact information

Practice address
639 SW BLACK BUTTE BLVD, REDMOND, OR 97756-2138
(541) 548-5550
Mailing address
639 SW BLACK BUTTE BLVD, REDMOND, OR 97756-2138
(541) 548-5550

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10120520
OR

Other

Enumeration date
02/08/2010
Last updated
02/08/2010
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