David Bentley Roberson, DMD Valid NPI
Individual provider · Dentist · Ft Gordon, GA
- NPI
- 1043280993
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN010567 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-24
- Last updated
- 2007-07-08
Practice location
Bldg 38717 38th Street, Usa Dentac
Ft Gordon, GA 30905-5660
(706) 787-6927