| |
9849 Atlantic Ave Suite 'f' South Gate CA 90280-5268 | |
(323) 564-7777 | |
(323) 564-7767 |
Full Name | |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 9849 Atlantic Ave, South Gate, California |
Authorized Official Name and Position | Robert Anthony Bobic (PRESIDENT) |
Authorized Official Contact | 3235647777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
9849 Atlantic Ave Suite 'f' South Gate CA 90280-5268 Ph: (323) 564-7777 | 9849 Atlantic Ave Suite 'f' South Gate CA 90280-5268 Ph: (323) 564-7777 |
NPI Number | 1417073446 |
---|---|
Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417073446 | NPI | - | NPPES |
07 20501 | Other | CA | DELTA DENTAL OF CA |
20501 | Other | CA | DDS BOARD OF DEN EXAMINER |
06 20501 | Other | CA | DELTA DENTAL OF CA |
771684 | Other | PA | UNITED CONCORDIA PROVIDE# |
G 93244-01 | Other | CA | DENTICAL BILLING PROV# |
G-93244-02 | Other | CA | DENTICAL BILLING PROV # |
MO115936 | Other | CA | CALIF DL |
1695206 | Other | PA | UNITED CONCORDIA ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20501 (California) | Primary |
Sorour Dental Group Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3173 Tweedy Blvd, South Gate, CA 90280 Phone: 323-564-4554 | |
Farzad Mazloomi Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8330 Long Beach Blvd Ste 107, South Gate, CA 90280 Phone: 323-582-5411 Fax: 323-582-5568 | |
Sepideh Noroozi,dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3615 Firestone Blvd, South Gate, CA 90280 Phone: 323-566-0581 |