Individual
LONN D ROBERTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
528 MILL ST, SPRINGFIELD, OR 97477-4547
(541) 746-6517
(541) 741-8060
Mailing address
528 MILL ST, SPRINGFIELD, OR 97477-4547
(541) 746-6517
(541) 741-8060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
548
AK
1223G0001X
General Practice Dentistry
Primary
D5881
OR
Other
Enumeration date
08/23/2005
Last updated
07/08/2007
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