Individual
DR. ROBERT JOSEPH DORNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2355 WEST MARKET STREET, TIFFIN, OH 44883-8937
(419) 447-0253
(419) 447-2054
Mailing address
2355 WEST MARKET STREET, TIFFIN, OH 44883-8937
(419) 447-0253
(419) 447-2054
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30016237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0613170
—
OH
01
—
34163264600
BWC
OH
Enumeration date
08/25/2006
Last updated
07/08/2007
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