Individual
MICHAEL AUSTIN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 COUNTRY CLUB RD STE A, LUCAS, TX 75002-8781
(972) 363-8020
(972) 363-8024
Mailing address
2730 COUNTRY CLUB RD STE A, LUCAS, TX 75002-8781
(972) 363-8020
(972) 363-8024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23852
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23852
TX
Other
Enumeration date
01/25/2012
Last updated
05/22/2019
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