Individual
DR. ROBERT P BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
34 LAKEVIEW CIR, COLUMBIA, SC 29206-3214
(803) 787-0861
(803) 787-0861
Mailing address
34 LAKEVIEW CIR, COLUMBIA, SC 29206-3214
(803) 787-0861
(803) 787-0861
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1521
SC
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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