Individual
DR. ROBERT S JUSTUS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1411 23RD AVE, MERIDIAN, MS 39301-4024
(601) 482-5701
Mailing address
1411 23RD AVE, MERIDIAN, MS 39301
(601) 482-5701
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PERI-74-83
NE
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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