John Michael Roberson D.D.S.

NPI 1689878928 - Dentist - 1223G0001X

NPI Details
NPI 1689878928
Gender Male
Enumeration Date 06/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2801 DUKE OF GLOUCESTER ST STE 103
DESOTO TX, 75115-2051, US
Phone (972) 296-1471
Fax (972) 296-1472
Business Location
2801 DUKE OF GLOUCESTER ST STE 103
DESOTO TX, 75115-2051, US
Phone (972) 296-1471
Fax (972) 296-1472
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 9454
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According to our database, Dr. John Michael Roberson D.D.S. NPI is 1689878928, taxonomy code is 1223G0001X and license number is 9454, license state is located at Texas. John Michael Roberson D.D.S. physically located at 2801 Duke Of Gloucester St Ste 103, Desoto TX, 75115-2051. NPI Number John Michael Roberson D.D.S. has the Individual type.

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1689878928 NPI number is provided on an as is basis without warranty of any kind. 1689878928 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Roberson D.D.S. are for informational purposes only.