DR. Robert Boone Outland JR., DDS

NPI #1912115585 in Rich Square, North Carolina

Provider Information

NPI Number: 1912115585
Entity Type: Individual
Name: DR. Robert Boone Outland JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 504 SOUTH MAIN ST
City: Rich Square
State: North Carolina
ZIP Code: 27869
Phone: (252) 539-2260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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