Individual
CHRISTINA GRANIER ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9354 HIGHWAY 49 STE L, GULFPORT, MS 39503-4226
(228) 206-1234
Mailing address
9354 HIGHWAY 49 STE L, GULFPORT, MS 39503-4226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4312-22
MS
122300000X
Dentist
Primary
7240
LA
Other
Enumeration date
06/03/2021
Last updated
07/08/2023
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