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1629058938
ROBERT ETHERIDGE
CAMP LEJEUNE, NC
NPI
1629058938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401005942)
Enumeration Date
2006-01-20
Last Update Date
2008-09-24
Business Address
-- ROBERT ETHERIDGE DDS
315 MCHUGH BLVD 2D DENBN/NDC
CAMP LEJEUNE, NC 28547-2511
Phone number: 910-451-2208
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Mailing Address
-- ROBERT ETHERIDGE DDS
315 MCHUGH BLVD 2D DENBN/NDC
CAMP LEJEUNE, NC 28547-2511
Phone number: 910-451-2208
Copy
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