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Individual

DR. RICHARD PETER BARTLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., F.R.C.D.C.

Contact information

Practice address
3011 ABIGAIL LN, MIDLAND, MI 48640
(989) 123-4567
Mailing address
3011 ABIGAIL LN, MIDLAND, MI 48640-6937

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
RB017584
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4285455
MI
05
4297311
MI
Enumeration date
07/08/2006
Last updated
06/22/2018
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