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Individual

DR. ROBERT LYNN FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
750 N CAPITOL AVE, C2, SAN JOSE, CA 95133-1942
(408) 258-5244
(408) 258-4768
Mailing address
750 N CAPITOL AVE, C2, SAN JOSE, CA 95133-1942
(408) 258-5244
(408) 258-4768

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21796
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21796
ST BD OF DENTAL EXAMINERS
CA
Enumeration date
11/10/2006
Last updated
07/08/2007
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