Individual
DR. HARRY NICK BOBOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
112 VILSECK ROAD, BLDG 419-2, FORT STEWART, GA 31315
(912) 257-7056
(912) 257-7055
Mailing address
112 VILSECK ROAD, BLDG 419-2, FORT STEWART, GA 31315
(912) 257-7056
(912) 257-7055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011989
GA
1223G0001X
General Practice Dentistry
3490
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z34909
—
SC
Enumeration date
05/22/2006
Last updated
07/21/2022
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