MEDICARE: DR. ROBERT JOSEPH POSEK 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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	26509	CA

General Provider Information

NPI Number	:	1518173582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOSEPH POSEK DDS

Provider Business Mailing Address
First Line	:	1812 ARTESIA BLVD
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-2906
Country	:	US
Telephone Number	:	310-318-3333
Fax Number	:	310-798-2566

Provider Business Practice Location Address
First Line	:	1812 ARTESIA BLVD
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-2906
Country	:	US
Telephone Number	:	310-318-3333
Fax Number	:	310-798-2566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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