| NPI | 1477032084 |
|---|---|
| Doing Business As | DR ROBERT E SPATAFORA, LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT E SPATAFORA Dentist 318-325-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 3206) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-05-08 |