Individual
DR. CLINTON LAWRENCE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
727 BUCKSKIN AVE WEST, PILLAGER, MN 56473
(218) 746-4555
(218) 746-4558
Mailing address
13942 GRAND OAKS CT., BAXTER, MN 56425
(218) 746-4555
(218) 746-4558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10518
MN
Other
Enumeration date
09/05/2006
Last updated
07/09/2007
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