Robert Joseph Mondragon, D.D.S.

NPI #1740481167 in Leslie, Michigan

Provider Information

NPI Number
1740481167
Entity Type
Individual
Name
Robert Joseph Mondragon, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 31, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
159 SOUTH MAIN STREET
City
Leslie
ZIP Code
49251-2530
Phone
(517) 896-9346

Specialties & Taxonomy Codes

Specialty
Dentist

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Provider Name
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