Individual
DR. MICHAEL L. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2410 STANLEY RD, DENTAC SUITE 200H, FORT SAM HOUSTON, TX 78234-7529
(210) 295-2743
(210) 295-2602
Mailing address
2410 STANLEY RD, DENTAC SUITE 200H, FORT SAM HOUSTON, TX 78234-7529
(210) 295-2743
(210) 295-2602
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6718
KS
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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