Individual
KAIMEN DRE'PAUL ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
X2
Contact information
Practice address
1631 WETZEL AVE BLDG 815, FORT CARSON, CO 80913
(719) 526-5537
Mailing address
1631 WETZEL AVE BLDG 815, FORT CARSON, CO 80913-4095
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/11/2018
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