Robert O Greenwald DDS PC

NPI #1962679746 in Bonne Terre, Missouri

Provider Information

NPI Number: 1962679746
Entity Type: Organization
Organization Name: Robert O Greenwald DDS PC
Primary Specialty: Dentist
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: #20 W JOHNSON
City: Bonne Terre
State: Missouri
ZIP Code: 63628
Phone: (573) 358-7566

Authorized Official

Name: MRS. RHONDA LYN BOYER
Title: OFFICE MANAGER
Phone: (573) 358-7566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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