Individual
DR. CHARLES RICHARD DOBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1243 7TH ST, SUITE A, SANTA MONICA, CA 90401-1605
(310) 451-5348
(310) 656-2565
Mailing address
1243 7TH ST, SUITE A, SANTA MONICA, CA 90401-1605
(310) 451-5348
(310) 656-2565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B28146-01
—
CA
Enumeration date
02/01/2007
Last updated
07/09/2007
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