| Robert L Dornbos Dds Pc | |
|
102 S Main Vicksburg MI 49097 | |
| (269) 649-2067 | |
| (269) 649-2605 |
| Full Name | Robert L Dornbos Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 102 S Main, Vicksburg, Michigan |
| Authorized Official Name and Position | Robert Lee Dornbos (PRESIDENT) |
| Authorized Official Contact | 2696492067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Dornbos Dds Pc 102 S Main Vicksburg MI 49097 Ph: (269) 649-2067 | Robert L Dornbos Dds Pc 102 S Main Vicksburg MI 49097 Ph: (269) 649-2067 |
| NPI Number | 1598875601 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598875601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11549 (Michigan) | Primary |