Provider Demographics
NPI:1699858779
Name:CHAPMAN, ROBIN LYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6096
Mailing Address - Country:US
Mailing Address - Phone:909-982-8924
Mailing Address - Fax:909-982-7144
Practice Address - Street 1:321 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6096
Practice Address - Country:US
Practice Address - Phone:909-982-8924
Practice Address - Fax:909-982-7144
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38647122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist