Individual
COREY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9745 AIRLINE HWY, BATON ROUGE, LA 70816-8101
(225) 201-0511
Mailing address
9745 AIRLINE HWY, BATON ROUGE, LA 70816-8101
(225) 201-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4907
LA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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