Provider Demographics
NPI:1093849408
Name:HOBSON, DONALD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:A
Last Name:HOBSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W FAIRVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-1202
Mailing Address - Country:US
Mailing Address - Phone:310-672-7299
Mailing Address - Fax:310-677-9164
Practice Address - Street 1:107 W FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-1202
Practice Address - Country:US
Practice Address - Phone:310-672-7299
Practice Address - Fax:310-677-9164
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA330991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice