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NPI Code Detail

MEDICARE: DR. ROBERT B TOMBERG D.D.S.

MEDICARE:  DR. ROBERT B TOMBERG  D.D.S.
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
1122300000XDentistDE00004807WA

General Provider Information

NPI Number : 1316031446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT B TOMBERG D.D.S.
Provider Business Mailing Address
First Line : 5611 119TH AVE SE
Second Line : SUITE # 2
City : BELLEVUE
State : WA
Zip : 98006-3799
Country : US
Telephone Number : 425-746-1181
Fax Number :
Provider Business Practice Location Address
First Line : 5611 119TH AVE SE
Second Line : SUITE # 2
City : BELLEVUE
State : WA
Zip : 98006-3799
Country : US
Telephone Number : 425-746-1181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT B TOMBERG D.D.S.” Practice Location

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