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General NPI Number Information
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NPI Number | 1770666760
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Entity Type | Organization
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Legal Business Name | RICHROBIN DENTAL SERVICES, CORP
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 321 N 3RD AVE
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City | UPLAND
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State | CA
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Zip | 91786-6096
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Country | US
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Telephone | 909-982-8924
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Fax | 909-982-7144
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Provider Business Mailing Address
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Address Line | 321 N 3RD AVE
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City | UPLAND
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State | CA
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Zip | 91786-6096
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Country | US
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Telephone | 909-982-8924
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Fax | 909-982-7144
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. ROBIN LYN CHAPMAN
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Credential | D.D.S.
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Telephone | 909-982-8924
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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 | 38647
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License Number State | CA
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