Robert Theodore Roberts
NPI #1518083948 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1518083948
- Entity Type
- Individual
- Name
- Robert Theodore Roberts
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 632 FRIARS POINT RD
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-9111
- Phone
- (662) 624-6862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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