Individual
MATTHEW LOUIS BOBBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
306 PROSPERITY RD, SUITE 201, KNOXVILLE, TN 37923-4700
(865) 769-0886
Mailing address
306 PROSPERITY RD, SUITE 201, KNOXVILLE, TN 37923-4700
(304) 692-1822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3923
WV
1223P0700X
Prosthodontics
Primary
9890
TN
Other
Enumeration date
12/02/2010
Last updated
07/10/2014
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