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DR. ROBERT LARKIN DESHAZER DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1497798060

Individual Registrant:
DR. ROBERT LARKIN DESHAZER DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2501 STEMLEY BRIDGE RD  PELL CITY, AL 35128-7525 US
Tel: 205-884-1691  Fax: 205-338-6921

Contact information for business:
2501 STEMLEY BRIDGE RD  PELL CITY, AL 35128-7525 US
Tel: 205-884-1691  Fax: 205-338-6921

Registration Information:
NPI: 1497798060
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL3495

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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