Individual
DR. MICHAEL J ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12409 E MISSION AVE, STE 101, SPOKANE VALLEY, WA 99216-3101
(509) 928-8800
(509) 321-0154
Mailing address
ORAL SURGERY PLUS, 12409 E MISSION #101, SPOKANE, WA 99216
(509) 928-8800
(509) 321-0154
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5033584
—
WA
Enumeration date
06/27/2005
Last updated
07/08/2007
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