Individual
MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 CONGRESS AVE, BATH, ME 04530-1531
(207) 443-9721
Mailing address
4 SCHOONER RIDGE RD APT 7, BATH, ME 04530-1662
(406) 860-3952
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4169
ME
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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