Organization
MICHAEL L BOBO, DDS, MD, PSC
Active
Organization
MICHAEL L BOBO, DDS, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L BOBO DDS,MD,FACS (PRESIDENT)
(731) 885-7891
Entity
Organization
Contact information
Practice address
1320 PLEASANT VALLEY AVE, UNION CITY, TN 38261-5958
(731) 885-7891
(731) 885-7894
Mailing address
1320 PLEASANT VALLEY AVE, UNION CITY, TN 38261-5958
(731) 885-7891
(731) 885-7894
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7404
TN
Other
Enumeration date
09/18/2007
Last updated
10/09/2019
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