Provider Demographics
NPI:1245363258
Name:ROBLES, ELIZABETH C (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:C
Last Name:ROBLES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19735 GERMANTOWN RD STE 230
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1217
Mailing Address - Country:US
Mailing Address - Phone:301-900-8010
Mailing Address - Fax:240-427-9707
Practice Address - Street 1:19735 GERMANTOWN RD STE 230
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1217
Practice Address - Country:US
Practice Address - Phone:301-900-8010
Practice Address - Fax:240-427-9707
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD124001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD800751897Medicaid