Individual
DR. MARTIN CHARLES ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1900 FOLSOM ST, SUITE 111, BOULDER, CO 80302-5713
(303) 442-4810
(303) 415-9155
Mailing address
1900 FOLSOM ST, SUITE 111, BOULDER, CO 80302-5713
(303) 442-4810
(303) 415-9155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105347
CO
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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