Organization
IDEAL DENTISTRY OF NORTON SHORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA ROBERTSON DDS (DENTIST)
(989) 313-1843
Entity
Organization
Contact information
Practice address
755 SEMINOLE RD STE 102, NORTON SHORES, MI 49441-6561
(231) 780-1100
Mailing address
755 SEMINOLE RD STE 102, NORTON SHORES, MI 49441-6561
(231) 780-1100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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