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Organization
ROBERTSON DENTAL PLLC
Active
Organization
ROBERTSON DENTAL PLLC
Active
Other names
Robertson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN ROBERTSON DDS (MANAGER)
(301) 471-5831
Entity
Organization
Contact information
Practice address
105 HUDSON DR, SUITE 9B, ELIZABETHTON, TN 37643-2801
(301) 471-5831
Mailing address
105 HUDSON DR, SUITE 9B, ELIZABETHTON, TN 37643-2801
(301) 471-5831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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