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General NPI Number Information
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NPI Number | 1417073446
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Entity Type | Organization
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Legal Business Name | ROBERT A. BOBIC DDS., INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9849 ATLANTIC AVE SUITE 'F'
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City | SOUTH GATE
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State | CA
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Zip | 90280-5268
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Country | US
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Telephone | 323-564-7777
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Fax | 323-564-7767
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Provider Business Mailing Address
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Address Line | 9849 ATLANTIC AVE SUITE 'F'
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City | SOUTH GATE
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State | CA
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Zip | 90280-5268
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Country | US
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Telephone | 323-564-7777
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Fax | 323-564-7767
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT ANTHONY BOBIC
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Credential | DDS
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Telephone | 323-564-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20501
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License Number State | CA
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