Individual
MS. KRISTIE ANN ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1105 HILLSIDE AVE SW, PINE CITY, MN 55063
(320) 629-2789
(320) 629-1330
Mailing address
1105 HILLSIDE AVE SW, PINE CITY, MN 55063
(320) 629-2789
(320) 629-1330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10870
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP28208
HEALTH PARTNERS
MN
Enumeration date
03/31/2006
Last updated
07/08/2007
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