Individual
ROBERT S. KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4370 STARKEY RD, STE 3, ROANOKE, VA 24018-0607
(540) 989-9070
(540) 989-9071
Mailing address
4370 STARKEY RD STE 3, ROANOKE, VA 24018-0603
(540) 989-9070
(540) 989-9071
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0101005615
VA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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