Individual
DR. BRANDI KATHLEEN ROEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6697
NE
1223P0221X
Pediatric Dentistry
Primary
2010015177
MO
Other
Enumeration date
09/20/2007
Last updated
06/16/2010
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