Individual
JUSTIN MICHAEL OBERDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1281 MARINETTE AVE, MARINETTE, WI 54143-2018
(715) 735-3337
Mailing address
W5445 WILLOW ROAD NUMBER 3.5, MENOMINEE, MI 49858-9105
(906) 424-4114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6114
WI
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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