Dr. Robert Harris Range, D.D.S
Dentist in Apo, AA. Individual provider (NPI-1).
NPI number1144585605
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1144585605
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Harris Range
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2012
- Certification date
- Jul 1, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 059481 | NY | Yes |
| 1223G0001X | Dentist, General Practice | 62737 | CA |
Practice location
Us Army Fort Drum Stone Dental Clinic10590 Enduring Freedom Drive
Apo, AA 13602
Phone 315-772-5576
Mailing address
Us Army Fort Drum Stone Dental Clinic10590 Enduring Freedom Drive
Apo, AA 13602
Phone 315-772-5576
Other practice locations
1261 8th Ave Apt 101
San Francisco, CA 94122-2446
San Francisco, CA 94122-2446
Phone 504-289-8953
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