Individual
DR. EDWARD N. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
23 WABANAKI WAY, PENOBSCOT NATION HEALTH DEPARTMENT, INDIAN ISLAND, ME 04468-1252
(207) 817-7418
(207) 817-7453
Mailing address
23 WABANAKI WAY, PENOBSCOT NATION HEALTH DEPARTMENT, INDIAN ISLAND, ME 04468-1252
(207) 817-7418
(207) 817-7453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17465
OH
Other
Enumeration date
06/30/2005
Last updated
08/24/2015
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