Individual
DR. ROBERT LEONARD SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
24901 KELLY RD, EASTPOINTE, MI 48021-1367
(586) 772-2090
Mailing address
22485 SUNNYDALE ST, SAINT CLAIR SHORES, MI 48081-2423
(586) 773-6836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010594
MI
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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