Individual
DR. ROBERT SCOTT DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
422 N PARK ST NE, GRAND RAPIDS, MI 49525-2580
(616) 361-7265
(616) 361-9410
Mailing address
612 OLD SCHOOL FOREST LN, SPARTA, MI 49345-9594
(616) 887-8114
(616) 361-9410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016066
MI
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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