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Individual

DR. STANLEY ALAN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMP

Contact information

Practice address
10 KIRTLAND ST, LYNN, MA 01905-1821
(781) 595-2552
(781) 593-0730
Mailing address
601 ROCK WOOD DR, SAUGUS, MA 01906-4531
(781) 231-2483
(781) 231-2485

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10455
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0252115
MA
Enumeration date
07/04/2006
Last updated
07/08/2007
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