Robert Seraita
Dentist in Effingham, IL. Individual provider (NPI-1).
NPI number1962073809
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1962073809
- Entity type
- Individual (NPI-1)
- Name
- Robert Seraita
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN26191 | FL | Yes |
Practice location
1200 Network Centre Dr Ste 2Effingham, IL 62401-4637
Phone 217-540-5100
Mailing address
1200 Network Centre Dr Ste 2Effingham, IL 62401-4637
Phone 217-540-5100
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