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General NPI Number Information
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NPI Number | 1285830752
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Entity Type | Organization
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Legal Business Name | ROBERT J LAND DDS PLLC
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2726 W 16TH STREET
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-726-1700
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Fax | 928-782-4039
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Provider Business Mailing Address
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Address Line | 2726 W 16TH STREET
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-726-1700
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Fax | 928-782-4039
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Authorized Official
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Title or Position | DDS
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Name | DR. ROBERT JAMES LAND
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Credential | GENERAL DENTIST
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Telephone | 928-726-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | AZ-4385
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License Number State | AZ
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