Individual
KEN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5409 MARYLAND WAY, SUITE 210, BRENTWOOD, TN 37027-5037
(615) 371-8009
(615) 661-4849
Mailing address
5409 MARYLAND WAY, SUITE 210, BRENTWOOD, TN 37027-5037
(615) 371-8009
(615) 661-4849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0004544
TN
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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