Organization
ROBERT L DORNBOS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE DORNBOS DDS (PRESIDENT)
(269) 649-2067
Entity
Organization
Contact information
Practice address
102 S MAIN, VICKSBURG, MI 49097
(269) 649-2067
(269) 649-2605
Mailing address
102 S MAIN, VICKSBURG, MI 49097
(269) 649-2067
(269) 649-2605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11549
MI
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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