Organization
RICHARD C. ROBERTSON DDS PLC
Active
Organization
RICHARD C. ROBERTSON DDS PLC
Active
Other names
Caledonia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CLYDE ROBERTSON DDS (MEMBER)
(616) 891-8141
Entity
Organization
Contact information
Practice address
9090 S RODGERS CT SE, CALEDONIA, MI 49316-8052
(616) 891-8141
(616) 891-8142
Mailing address
9090 S RODGERS CT SE, CALEDONIA, MI 49316-8052
(616) 891-8141
(616) 891-8142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13197
MI
122300000X
Dentist
19398
MI
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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