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Individual

DR. SUSAN ELIZABETH ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.D.

Contact information

Practice address
555 S RENTON VILLAGE PL, STE 786, RENTON, WA 98057-3294
(425) 207-8677
Mailing address
555 S RENTON VILLAGE PL STE 786, RENTON, WA 98057-3294
(425) 996-7002

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00010281
WA

Other

Enumeration date
12/05/2010
Last updated
12/05/2010
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