Individual
DR. PATRICIA ANN ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
106 LONGVIEW DR, LOS ALAMOS, NM 87544-3738
(505) 672-1336
(505) 672-0840
Mailing address
106 LONGVIEW DR, LOS ALAMOS, NM 87544-3738
(505) 672-1336
(505) 672-0840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4552
—
NM
05
—
R9365
—
NM
Enumeration date
11/02/2005
Last updated
07/08/2007
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