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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