Individual
MICHAEL DAVID ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 692-5530
Mailing address
1103 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 692-5530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02695400
NJ
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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