Individual
GREG A ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 TEXAS AVE, ALEXANDRIA, LA 71301-4838
(318) 473-9005
(318) 442-9865
Mailing address
1201 TEXAS AVE, ALEXANDRIA, LA 71301-4838
(318) 473-9005
(318) 442-9865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA4445
LA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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