Roberts Family Dental Care LLC
Dentist in La Cygne, KS. Organization (NPI-2).
NPI number1265961007
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1265961007
- Entity type
- Organization (NPI-2)
- Legal business name
- Roberts Family Dental Care LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 61400 | KS | Yes |
Practice location
113 N Broadway StLa Cygne, KS 66040-4205
Phone 913-757-4429
Mailing address
113 N Broadway StLa Cygne, KS 66040-4205
Phone 913-757-4429
Authorized official
Annie Roberts
Member
9137574429
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