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Organization
SAMUEL BOBEK PLLC
Active
Organization
SAMUEL BOBEK PLLC
Active
Other names
Seattle Jaw Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BOBEK DMD, MD (OWNER)
(503) 475-4735
Entity
Organization
Contact information
Practice address
600 BROADWAY STE 460, SEATTLE, WA 98122-5312
(206) 320-2078
Mailing address
600 BROADWAY STE 460, SEATTLE, WA 98122-5312
(206) 320-2078
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/25/2019
Last updated
10/28/2019
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