Individual
DR. BRIAN WILSON ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 N GREENE ST, DENTAL CLINIC, BALTIMORE, MD 21201-1524
(919) 619-8392
Mailing address
28 S CARROLLTON AVE, BALTIMORE, MD 21223-2625
(919) 619-8392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
000000
MD
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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