Robert L Dornbos Dds Pc | |
102 S Main Vicksburg MI 49097 | |
(269) 649-2067 | |
(269) 649-2605 |
Full Name | Robert L Dornbos Dds Pc |
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Speciality | Dentist |
Location | 102 S Main, Vicksburg, Michigan |
Authorized Official Name and Position | Robert Lee Dornbos (PRESIDENT) |
Authorized Official Contact | 2696492067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert L Dornbos Dds Pc 102 S Main Vicksburg MI 49097 Ph: (269) 649-2067 | Robert L Dornbos Dds Pc 102 S Main Vicksburg MI 49097 Ph: (269) 649-2067 |
NPI Number | 1598875601 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1598875601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11549 (Michigan) | Primary |