Individual
ROBERT JOSEPH MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
159 SOUTH MAIN STREET, LESLIE, MI 49251-2530
(517) 896-9346
(517) 589-5154
Mailing address
159 S MAIN, PO BOX 596, LESLIE, MI 49251
(517) 896-9346
(517) 589-5154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015968
MI
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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