Individual
DR. ROBERT G MEMSIC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3407 W 6TH ST, SUITE 514, LOS ANGELES, CA 90020-2537
(310) 546-3683
Mailing address
2315 JOHN ST, MANHATTAN BEACH, CA 90266-2615
(310) 546-3683
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23217
CA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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