DR. Robert Bruce Vandragt, DENTIST

NPI #1649319161 in Traverse City, Michigan

Provider Information

NPI Number: 1649319161
Entity Type: Individual
Name: DR. Robert Bruce Vandragt, DENTIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DENTIST
Enumeration Date: Feb 5, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 431 MUNSON AVE
Address 2: SUITE F
City: Traverse City
State: Michigan
ZIP Code: 49686-3060
Phone: (231) 946-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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