Individual
MICHAEL AUSTIN ROBERTSON
Active
Individual
MICHAEL AUSTIN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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