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1225044282
GARY L ROBERTS
SHREVEPORT, LA
NPI
1225044282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: LA 3196)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
DR. GARY L ROBERTS DDS
8510 LINE AVE
SHREVEPORT, LA 71106-6119
Phone number: 318-869-3111
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Mailing Address
DR. GARY L ROBERTS DDS
8510 LINE AVE
SHREVEPORT, LA 71106-6119
Phone number: 318-869-3111
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