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DR. ROBERT LYMAN ECKLES DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1295729077

Individual Registrant:
DR. ROBERT LYMAN ECKLES DDS
Gender: M

Location and contact information for practice:
BAYSHORE DRIVE  MACDILL AFB, FL 33621-1607 US
Tel: 813-827-9400  Fax: --

Contact information for business:
3609 CORDGRASS DR  VALRICO, FL 33594-9256 US
Tel: 813-662-9136  Fax: --

Registration Information:
NPI: 1295729077
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TNDS0000003057

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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