Kaimen Dre'paul Roberson, X2
NPI #1164871000 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1164871000
- Entity Type
- Individual
- Name
- Kaimen Dre'paul Roberson, X2
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- X2
- Enumeration Date
- Jun 10, 2016
- Last Updated
- Jun 11, 2018
Practice Location
- Address
- 1631 WETZEL AVE BLDG 815
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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