| Kenneth W Roberts, Dds, Pc | |
|
546 N Lafayette St South Lyon MI 48178-2000 | |
| (248) 486-1730 | |
| Not Available |
| Full Name | Kenneth W Roberts, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 546 N Lafayette St, South Lyon, Michigan |
| Authorized Official Name and Position | Kenneth Roberts (OWNER) |
| Authorized Official Contact | 2484861730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W Roberts, Dds, Pc 546 N Lafayette St South Lyon MI 48178-2000 Ph: (248) 486-1730 | Kenneth W Roberts, Dds, Pc 546 N Lafayette St South Lyon MI 48178-2000 Ph: (248) 486-1730 |
| NPI Number | 1326592312 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326592312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 013871 (Michigan) | Primary |
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