Ryan Payne Roberson D.D.S

NPI 1093934630 - Dentist - 1223G0001X

NPI Details
NPI 1093934630
Gender Male
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3006 DAWN DR
GEORGETOWN TX, 78628-2879, US
Phone (512) 869-5997
Fax (512) 869-2036
Business Location
113 FAIRFIELD CT
GEORGETOWN TX, 78628-4655, US
Phone (512) 869-5997
Fax (512) 869-2036
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 21726
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According to our database, Dr. Ryan Payne Roberson D.D.S NPI is 1093934630, taxonomy code is 1223G0001X and license number is 21726, license state is located at Texas. Ryan Payne Roberson D.D.S physically located at 3006 Dawn Dr, Georgetown TX, 78628-2879. NPI Number Ryan Payne Roberson D.D.S has the Individual type.

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1093934630 NPI number is provided on an as is basis without warranty of any kind. 1093934630 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Payne Roberson D.D.S are for informational purposes only.