MEDICARE: ROBERT A CAMHI DENTAL INC

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	122300000X	Dentist	30746	CA

General Provider Information

NPI Number	:	1538487640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT A CAMHI DENTAL INC

Provider Business Mailing Address
First Line	:	2405 HOOVER AVE
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-6619
Country	:	US
Telephone Number	:	619-474-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 HOOVER AVE
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-6619
Country	:	US
Telephone Number	:	619-474-6200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT ALLEN CAMHI
Credential	:	DDS
Telephone Number	:	619-474-6200

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	04/15/2011

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