Organization
COREY A. ROBERTSON, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY A ROBERTSON DDS (OWNER)
(225) 201-0511
Entity
Organization
Contact information
Practice address
9745 AIRLINE HWY, BATON ROUGE, LA 70816-8101
(225) 201-0511
Mailing address
9745 AIRLINE HWY, BATON ROUGE, LA 70816-8101
(225) 201-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4907
LA
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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