| Corey A. Robertson, Dds A Professional Dental Corporation | |
|
3203 S Sherwood Forest Blvd Baton Rouge LA 70816-2220 | |
| (225) 201-0511 | |
| Not Available |
| Full Name | Corey A. Robertson, Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 3203 S Sherwood Forest Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Crystal R Perry (MANAGER) |
| Authorized Official Contact | 2525203241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey A. Robertson, Dds A Professional Dental Corporation 3203 S Sherwood Forest Blvd Baton Rouge LA 70816-2220 Ph: (225) 201-0511 | Corey A. Robertson, Dds A Professional Dental Corporation 3203 S Sherwood Forest Blvd Baton Rouge LA 70816-2220 Ph: (225) 201-0511 |
| NPI Number | 1821408683 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 05/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821408683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4907 (Louisiana) | Primary |
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