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Organization

WILLIAM ROBERTSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA ROBERTSON-GOMEZ (OFFICE MANAGER)
(517) 393-0346
Entity
Organization

Contact information

Practice address
4101 S PENNSYLVANIA AVE, LANSING, MI 48910-0717
(517) 393-0346
(517) 393-9244
Mailing address
4101 S PENNSYLVANIA AVE, LANSING, MI 48910-0717
(517) 393-0346
(517) 393-9244

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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