Provider Demographics
NPI:1114235785
Name:GEORGE PETRESCU-BOBOC DDS PLLC
Entity Type:Organization
Organization Name:GEORGE PETRESCU-BOBOC DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRESCU-BOBOC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-448-4200
Mailing Address - Street 1:2 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1304
Mailing Address - Country:US
Mailing Address - Phone:603-448-4200
Mailing Address - Fax:
Practice Address - Street 1:2 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1304
Practice Address - Country:US
Practice Address - Phone:603-448-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH035541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty