Individual
DR. ROBERT LAWRENCE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1321 N HARBOR BLVD STE 203, FULLERTON, CA 92835-4130
(714) 525-5200
(714) 525-5998
Mailing address
1321 N HARBOR BLVD STE 203, FULLERTON, CA 92835-4130
(714) 525-5200
(714) 525-5998
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
24180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24180
DENTAL LICENSE
CA
Enumeration date
07/17/2006
Last updated
07/08/2007
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