Provider Demographics
NPI:1225246010
Name:CARE DENTAL GROUP OF ROBERT A BOBIC
Entity Type:Organization
Organization Name:CARE DENTAL GROUP OF ROBERT A BOBIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BOBIC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-277-4044
Mailing Address - Street 1:99 N SAN ANTONIO AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4578
Mailing Address - Country:US
Mailing Address - Phone:909-981-2554
Mailing Address - Fax:
Practice Address - Street 1:6438 RITA AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4126
Practice Address - Country:US
Practice Address - Phone:323-277-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA205011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty