DR. Brian Mark Roberts, DDS

NPI #1538148085 in Monte Vista, Colorado

Provider Information

NPI Number: 1538148085
Entity Type: Individual
Name: DR. Brian Mark Roberts, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 403 DUNHAM ST
City: Monte Vista
State: Colorado
ZIP Code: 81144-0403
Phone: (719) 852-5432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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