Organization
DARRELL K ROBERSON, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL KEITH ROBERSON DMD (PRESIDENT)
(205) 871-2838
Entity
Organization
Contact information
Practice address
357 OFFICE PARK DR, MOUNTAIN BRK, AL 35223-5401
(205) 871-2838
Mailing address
357 OFFICE PARK DR, MOUNTAIN BRK, AL 35223-5401
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4195
AL
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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