Individual
DR. MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7555 S CENTER VIEW CT STE 201, WEST JORDAN, UT 84084-1971
(801) 566-9380
Mailing address
2653 W VAN ROSS DR, SOUTH JORDAN, UT 84095-8369
(801) 550-4654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11768911-0702
UT
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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