Robert L Dornbos, DDS Valid NPI
Individual provider · General Practice Dentistry · Vicksburg, MI
- NPI
- 1982684916
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 11549 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-17
- Last updated
- 2007-07-08
Practice location
102 S Main St
Vicksburg, MI 49097-1211
(269) 649-2067