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
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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