Individual
DR. ROBERT OVERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
921 E TINKHAM AVE, LUDINGTON, MI 49431-1537
(231) 846-3097
Mailing address
921 E TINKHAM AVE, LUDINGTON, MI 49431-1537
(231) 843-3909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901008198
MI
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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