Robert L Dornbos DDS PC

NPI #1598875601 in Vicksburg, Michigan

Provider Information

NPI Number: 1598875601
Entity Type: Organization
Organization Name: Robert L Dornbos DDS PC
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 102 S MAIN
City: Vicksburg
State: Michigan
ZIP Code: 49097
Phone: (269) 649-2067

Authorized Official

Name: ROBERT LEE DORNBOS, DDS
Title: PRESIDENT
Phone: (269) 649-2067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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