Organization
ROBERT M ABRAHAM, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M ABRAHAM SR. D.D.S. (PRESIDENT)
(601) 638-9111
Entity
Organization
Contact information
Practice address
1909 MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-9111
(601) 638-0013
Mailing address
PO BOX 820089, VICKSBURG, MS 39182-0089
(601) 638-9111
(601) 638-0013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1513-72
MS
Other
Enumeration date
04/03/2007
Last updated
07/13/2010
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