Howard Douglas Robertson DDS

NPI 1083791479 - Dentist - 1223G0001X

NPI Details
NPI 1083791479
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5105 JERSEY RIDGE ROAD
DAVENPORT IA, 52807-3134, US
Phone (563) 359-9144
Fax (563) 359-9146
Business Location
5105 JERSEY RIDGE ROAD
DAVENPORT IA, 52807-3134, US
Phone (563) 359-9144
Fax (563) 359-9146
Toxanomy
Taxonomy Code 1223G0001X
License State Iowa
License Number 06041
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According to our database, Dr. Howard Douglas Robertson DDS NPI is 1083791479, taxonomy code is 1223G0001X and license number is 06041, license state is located at Iowa. Howard Douglas Robertson DDS physically located at 5105 Jersey Ridge Road, Davenport IA, 52807-3134. NPI Number Howard Douglas Robertson DDS has the Individual type.

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1083791479 NPI number is provided on an as is basis without warranty of any kind. 1083791479 is maintained by the National Plan & Provider Enumeration System. The contents of Howard Douglas Robertson DDS are for informational purposes only.