Individual
ROBERT L EGGLESTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3100 IVANREST AVE SW, SUITE 105, GRANDVILLE, MI 49418-2930
(616) 538-3060
(616) 538-3653
Mailing address
3100 IVANREST AVE SW, SUITE 105, GRANDVILLE, MI 49418-2930
(616) 538-3060
(616) 538-3653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016314
MI
Other
Enumeration date
11/28/2005
Last updated
07/08/2007
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