Individual
DR. JUSTIN L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
807 SPRING FOREST ROAD, RALEIGH, NC 27609
(919) 448-4418
Mailing address
807 SPRING FOREST RD, RALEIGH, NC 27609-9197
(919) 954-7177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9235
NC
Other
Enumeration date
11/24/2011
Last updated
12/05/2012
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