Organization
ROBERTS & LO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET SHIELDS (CREDENTIALING MANAGER)
(480) 406-8677
Entity
Organization
Contact information
Practice address
2643 RANDLEMAN RD, GREENSBORO, NC 27406-5153
(336) 544-2758
Mailing address
5717 E THOMAS RD STE 110, 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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