Individual
DR. ROBERT JAMES MICHELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3575 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4009
(770) 934-1000
(770) 934-1007
Mailing address
2526 OAK CROSSING DR, DECATUR, GA 30033-2120
(404) 325-9172
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN009361
GA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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