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NPI Code Detail

MEDICARE: DR. ROBERT ADAMS DDS

MEDICARE: DR. ROBERT ADAMS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry25229CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B25229-01OTHERCADENTICAL

General Provider Information

NPI Number : 1235240888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ADAMS DDS
Provider Business Mailing Address
First Line : 5220 W WASHINGTON BLVD
Second Line : SUITE 103
City : LOS ANGELES
State : CA
Zip : 90016-1331
Country : US
Telephone Number : 323-933-5641
Fax Number :
Provider Business Practice Location Address
First Line : 5220 W WASHINGTON BLVD
Second Line : SUITE 103
City : LOS ANGELES
State : CA
Zip : 90016-1331
Country : US
Telephone Number : 323-933-5641
Fax Number : 323-939-6620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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