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Individual
SAMANTHA ROBLES
Active
Individual
SAMANTHA ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8480
SC
1223P0300X
Periodontics
Primary
10401
NC
Other
Enumeration date
06/30/2015
Last updated
10/04/2016
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