Individual
AJA BIANCA GOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 SWINBURNE ST, RALEIGH, NC 27610
(919) 250-1033
(919) 743-4857
Mailing address
PO BOX 46087, RALEIGH, NC 27620-6087
(919) 250-1033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9448
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9448
DENTAL LICENSE
NC
Enumeration date
10/07/2008
Last updated
02/24/2026
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