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NPI Code Detail

MEDICARE: DR. ROBERT T. FABI DMD

MEDICARE: DR. ROBERT T. FABI DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDE00008153WA

General Provider Information

NPI Number : 1023182318
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT T. FABI DMD
Provider Business Mailing Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-7212
Country : US
Telephone Number : 253-582-8900
Fax Number :
Provider Business Practice Location Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-7212
Country : US
Telephone Number : 253-582-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 01/15/2013

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