Kaimen Dre'Paul Roberson, X2 Valid NPI

Individual provider · Dental Assistant · Fort Carson, CO

NPI

1164871000

Type

Individual (Type 1)

Primary specialty

Dental Assistant

Specialty group

Dental Providers

Taxonomy code

126800000X

Sex

Male

Sole proprietor

No

Enumerated

2016-06-10

Last updated

2018-06-11