Individual
DR. ROBERT BOONE OUTLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 SOUTH MAIN ST, RICH SQUARE, NC 27869
(252) 539-2260
(252) 539-3929
Mailing address
BOX 410, 504 SOUTH MAIN STREET, RICH SQUARE, NC 27869
(252) 539-2260
(252) 539-3929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2913
NC
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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