Individual
MRS. AMY DEANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
601 N 21ST ST, OZARK, MO 65721-9184
(417) 582-5439
Mailing address
1024 E KINGSBURY ST, SPRINGFIELD, MO 65807-2033
(417) 823-0546
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2003012124
MO
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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