Robert Ogden Reisig JR., DDS

NPI #1407921893 in St Clair, Michigan

Provider Information

NPI Number
1407921893
Entity Type
Individual
Name
Robert Ogden Reisig JR., DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1820 SINCLAIR ST
Address 2
SUITE B
ZIP Code
48079
Phone
(810) 329-3111

Specialties & Taxonomy Codes

Specialty
Dentist

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