| Roberts Dental Ranch Of Texas, Pa | |
|
2440 East Prosper Trail Prosper TX 75078 | |
| (972) 347-6444 | |
| Not Available |
| Full Name | Roberts Dental Ranch Of Texas, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2440 East Prosper Trail, Prosper, Texas |
| Authorized Official Name and Position | Raenie Oakes Roberts (CO-DIRECTOR) |
| Authorized Official Contact | 2147289419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberts Dental Ranch Of Texas, Pa 1921 Stillhouse Hollow Dr Prosper TX 75078-7203 Ph: (972) 347-6444 | Roberts Dental Ranch Of Texas, Pa 2440 East Prosper Trail Prosper TX 75078 Ph: (972) 347-6444 |
| NPI Number | 1760621106 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760621106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22822 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 21466 (Texas) | Secondary |
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