Individual
MS. ROBERTA ROSE ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 W FOOTHILL BLVD UNIT C-2A, MONROVIA, CA 91016-2171
(626) 378-5267
Mailing address
154 W FOOTHILL BLVD UNIT C-2A, MONROVIA, CA 91016-2171
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B3983314
—
CA
Enumeration date
01/05/2020
Last updated
01/05/2020
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