Organization
ROBERTS FAMILY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE ROBERTS DDS (MEMBER)
(913) 757-4429
Entity
Organization
Contact information
Practice address
113 N BROADWAY ST, LA CYGNE, KS 66040-4205
(913) 757-4429
Mailing address
113 N BROADWAY ST, LA CYGNE, KS 66040-4205
(913) 757-4429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61400
KS
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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