Individual
DR. ROBERT LOUIS O'DONNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1550 W SIDNEY RD, SIDNEY, MI 48885-9748
(877) 328-0777
Mailing address
3535 FERNDALE AVE, DANVILLE, IL 61834-7325
(217) 779-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022833
MI
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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