Organization
KENNETH W ROBERTS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ROBERTS DDS (OWNER)
(248) 486-1730
Entity
Organization
Contact information
Practice address
546 N LAFAYETTE ST, SOUTH LYON, MI 48178-2000
(248) 486-1730
Mailing address
546 N LAFAYETTE ST, SOUTH LYON, MI 48178-2000
(248) 486-1730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013871
MI
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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