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Individual

DR. ROBERT BANG

Active
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Individual

DR. ROBERT BANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43114
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1524471
UNITED CONCORDIA
CA
01
B43114-01
HEALTHY FAMILIES
CA
01
G92759-01
MEDICAL PROVIDER NUMBER
CA
Enumeration date
07/17/2006
Last updated
12/29/2021
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