Individual
DR. ANNIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
113 N BROADWAY ST, LA CYGNE, KS 66040-4205
(913) 757-4429
Mailing address
211 E PARK ST, PLEASANTON, KS 66075-4065
(913) 235-1141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61400
KS
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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