Individual
DR. MARY ELIZABETH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8 LAUREL HILL DR, RANDOLPH, NJ 07869-4627
(973) 895-5476
Mailing address
8 LAUREL HILL DR, RANDOLPH, NJ 07869-4627
(973) 895-5476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401006046
VA
122300000X
Dentist
Primary
22DI01537400
NJ
122300000X
Dentist
2742-15
WI
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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