Brian Mark Roberts, DDS Valid NPI
Individual provider · Dentist · Monte Vista, CO
- NPI
- 1538148085
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 104946 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-12
- Last updated
- 2007-07-08
Practice location
403 Dunham St
Monte Vista, CO 81144-0403
(719) 852-5432