Individual
DR. MISTY GOFF ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6516 M D ANDERSON BLVD, SUITE 2.059, HOUSTON, TX 77030-3402
(713) 500-4311
Mailing address
6516 M D ANDERSON BLVD, SUITE 2.059, HOUSTON, TX 77030-3402
(713) 500-4311
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3426-07
MS
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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