Individual
DR. RAENIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2440 EAST PROSPER TRAIL, PROSPER, TX 75078
(972) 347-6444
(972) 347-6408
Mailing address
2440 EAST PROSPER TRAIL, PROSPER, TX 75078
(972) 347-6444
(972) 347-6408
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21466
TX
Other
Enumeration date
12/05/2006
Last updated
09/04/2009
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