| American Dental Care | |
|
9849 Atlantic Ave Suite 'f' South Gate CA 90280-5268 | |
| (323) 564-7777 | |
| (323) 564-7767 |
| Full Name | American Dental Care |
|---|---|
| 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 |
|---|---|
| American Dental Care 9849 Atlantic Ave Suite 'f' South Gate CA 90280-5268 Ph: (323) 564-7777 | American Dental Care 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 |
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