Individual
DR. ROBERT EUGENE SPATAFORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2212 JUSTICE ST, MONROE, LA 71201-3620
(318) 325-5764
(318) 325-7940
Mailing address
2212 JUSTICE ST, MONROE, LA 71201-3620
(318) 325-5764
(318) 325-7940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3206
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832065
—
LA
Enumeration date
07/26/2006
Last updated
07/08/2007
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