Individual
DR. RONEI RODOLFO IACOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5647 SASHABAW RD, CLARKSTON, MI 48346
(248) 625-2515
(248) 625-2297
Mailing address
5647 SASHABAW RD, CLARKSTON, MI 48346
(248) 625-2515
(248) 625-2297
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12807
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
53533
CA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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