Individual
DR. ROBERT MARTIN GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5723 NE BOTHELL WAY, SUITE C, KENMORE, WA 98028
(425) 486-9111
(425) 489-1923
Mailing address
5723 NE BOTHELL WAY, SUITE C, KENMORE, WA 98028
(425) 486-9111
(425) 489-1923
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5424
WDS #
WA
Enumeration date
01/18/2007
Last updated
07/08/2007
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