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Individual

DR. FONDA GAY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
305 W 12TH AVE, ROOM 1080, COLUMBUS, OH 43210-1267
(614) 292-0050
(614) 292-6372
Mailing address
305 W 12TH AVE, ROOM 1080, COLUMBUS, OH 43210-1267
(614) 292-0050
(614) 292-6372

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
662
KY
1223P0700X
Prosthodontics
Primary
71-000228
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60066438
KY
Enumeration date
11/09/2007
Last updated
04/02/2017
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