Individual
DR. HOWARD DOUGLAS ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5105 JERSEY RIDGE ROAD, DAVENPORT, IA 52807-3134
(563) 359-9144
(563) 359-9146
Mailing address
5105 JERSEY RIDGE ROAD, DAVENPORT, IA 52807-3134
(563) 359-9144
(563) 359-9146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06041
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098418
—
IA
Enumeration date
11/01/2006
Last updated
07/08/2007
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