Individual
DONNA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
369 GUN CLUB RD UNIT 39, WOODLAND, WA 98674-8224
(360) 921-8969
Mailing address
369 GUN CLUB RD UNIT 39, WOODLAND, WA 98674-8224
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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