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1780785550
ROBERT L ENNIS
INDEPENDENCE, MO
NPI
1780785550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO 11438)
Enumeration Date
2006-09-26
Last Update Date
2015-05-05
Business Address
Dr. ROBERT L ENNIS D.D.S.
3916 S. LYNN CT.
INDEPENDENCE, MO 64055
Phone number: 816-254-2345
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Mailing Address
Dr. ROBERT L ENNIS D.D.S.
3916 S LYNN CT
INDEPENDENCE, MO 64055-3393
Phone number: 816-254-2345
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