Individual
DR. MICHAEL RAYMOND ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
657 E COTTONWOOD ST, SUITE 1, COTTONWOOD, AZ 86326-4407
(928) 634-5033
Mailing address
657 EAST COTTONWOOD STREET, SUITE 1, COTTONWOOD, AZ 86326-4407
(928) 634-5033
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4515
AZ
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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