Dr Robert Spatafora DDS
Dentist, General Practice in Monroe, LA. Organization (NPI-2).
NPI number1477032084
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1477032084
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Robert Spatafora DDS
- Organization subpart
- No
- Enumeration date
- Aug 14, 2018
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3206 | LA |
Other names
- Dr Robert E Spatafora, LLC (Doing Business As)
Practice location
2212 Justice StMonroe, LA 71201-3620
Phone 318-325-5764 · Fax 318-325-7940
Mailing address
2212 Justice StMonroe, LA 71201-3620
Phone 318-325-5764 · Fax 318-325-7940
Authorized official
Robert E Spatafora
Dentist
3183255764
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