Organization
ROBERT A. BOBIC DDS., INC
Active
Other names
American Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANTHONY BOBIC DDS (PRESIDENT)
(323) 564-7777
Entity
Organization
Contact information
Practice address
9849 ATLANTIC AVE, SUITE 'F', SOUTH GATE, CA 90280-5268
(323) 564-7777
(323) 564-7767
Mailing address
9849 ATLANTIC AVE, SUITE 'F', SOUTH GATE, CA 90280-5268
(323) 564-7777
(323) 564-7767
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06 20501
DELTA DENTAL OF CA
CA
01
—
07 20501
DELTA DENTAL OF CA
CA
01
—
1695206
UNITED CONCORDIA ID#
PA
01
—
20501
DDS BOARD OF DEN EXAMINER
CA
01
—
771684
UNITED CONCORDIA PROVIDE#
PA
01
—
G 93244-01
DENTICAL BILLING PROV#
CA
01
—
G-93244-02
DENTICAL BILLING PROV #
CA
01
—
MO115936
CALIF DL
CA
Enumeration date
03/21/2007
Last updated
08/22/2020
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