Dr. Tony Roberts D.d.s. LLC

NPI #1871777136 in Pueblo, Colorado

Provider Information

NPI Number: 1871777136
Entity Type: Organization
Organization Name: Dr. Tony Roberts D.d.s. LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 21, 2007
Last Updated: Aug 9, 2012

Practice Location

Address: 517 W 5TH ST
Address 2: STE 106
City: Pueblo
State: Colorado
ZIP Code: 81003-3185
Phone: (719) 542-6014

Authorized Official

Name: DR. TONY LEON ROBERTS, DDS
Title: MANAGING MEMBER
Phone: (719) 542-6014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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