Organization
SAMUEL BOBEK PLLC
Active
Other names
Seattle Jaw Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BOBEK DMD, MD (OWNER)
(503) 475-4735
Entity
Organization
Contact information
Practice address
600 BROADWAY STE 460, SEATTLE, WA 98122-5312
(206) 320-2078
Mailing address
600 BROADWAY STE 460, SEATTLE, WA 98122-5312
(206) 320-2078
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/25/2019
Last updated
10/28/2019
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