| Robert M Abraham, D.d.s., P.a. | |
|
1909 Mission 66 Vicksburg MS 39180-3711 | |
| (601) 638-9111 | |
| (601) 638-0013 |
| Full Name | Robert M Abraham, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1909 Mission 66, Vicksburg, Mississippi |
| Authorized Official Name and Position | Robert M Abraham (PRESIDENT) |
| Authorized Official Contact | 6016389111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Abraham, D.d.s., P.a. Po Box 820089 Vicksburg MS 39182-0089 Ph: (601) 638-9111 | Robert M Abraham, D.d.s., P.a. 1909 Mission 66 Vicksburg MS 39180-3711 Ph: (601) 638-9111 |
| NPI Number | 1962523944 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 07/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962523944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1513-72 (Mississippi) | Primary |
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