Organization
ROBERTS & LO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET SHIELDS (CREDENTIALING MANAGER)
(623) 282-9959
Entity
Organization
Contact information
Practice address
510 NICHOLAS RD STE F, GREENSBORO, NC 27409-3404
(336) 387-9168
Mailing address
5717 E THOMAS RD STE 100, SCOTTSDALE, AZ 85251-7620
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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