MEDICARE: DR. VALENTINA MARIA DOBRE DMD, MSD

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	1223P0300X	Periodontics	30.022019	OH

General Provider Information

NPI Number	:	1801075270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALENTINA MARIA DOBRE DMD, MSD

Provider Business Mailing Address
First Line	:	1581 W 117TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44107-5254
Country	:	US
Telephone Number	:	216-801-4437
Fax Number	:	216-801-4438

Provider Business Practice Location Address
First Line	:	1581 W 117TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44107-5254
Country	:	US
Telephone Number	:	216-801-4437
Fax Number	:	216-801-4438

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

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	11/20/2015

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