Individual
DR. ABA EDZIEBA MILLS-ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1685 K-V ROAD, VICTORIA, VA 23974
(434) 696-4180
(434) 696-4182
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413268
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467733253
—
VA
Enumeration date
09/07/2011
Last updated
02/07/2014
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