Individual
DR. DALLIN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5201 ROE BLVD, ROELAND PARK, KS 66205-2390
(913) 828-0060
(913) 828-0061
Mailing address
5201 ROE BLVD, ROELAND PARK, KS 66205-2390
(913) 828-0060
(913) 828-0061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61347
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61347
KANSAS DENTAL LICENSE
KS
Enumeration date
05/25/2018
Last updated
05/25/2018
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