Individual
DR. CHRISTOPHER BOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 NW 107TH AVE, 3RD FLOOR, DORAL, FL 33178-4377
(786) 624-3368
Mailing address
17050 SW 83RD CT, PALMETTO BAY, FL 33157-4769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN19396
FL
1223P0221X
Pediatric Dentistry
Primary
DN19396
FL
Other
Enumeration date
08/23/2012
Last updated
08/16/2013
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