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Individual

DR. ROBERT ORSON PEMBERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1642 US HIGHWAY 131, PETOSKEY, MI 49770-8339
(231) 347-4662
Mailing address
1642 US HIGHWAY 131, PETOSKEY, MI 49770-8339
(231) 622-2074

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022795
MI

Other

Enumeration date
08/06/2018
Last updated
08/06/2018
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