Individual
CELESTE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 TOMCAT BLVD, VIRGINIA BEACH, VA 23460-2218
(757) 953-3925
Mailing address
252 N WINNEBAGO DR, LAKE WINNEBAGO, MO 64034-9319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019030279
MO
Other
Enumeration date
08/15/2019
Last updated
11/30/2022
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