Organization
ROBERTSON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON P ROBERTSON DDS (DENTIST)
(317) 874-6885
Entity
Organization
Contact information
Practice address
138 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(317) 874-6885
Mailing address
3112 LEXINGTON PARK DR, ELKHART, IN 46514-1167
(317) 874-6892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011017A
IN
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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