Provider Demographics
NPI:1235334806
Name:STROBER, ROD H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROD
Middle Name:H
Last Name:STROBER
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 1:72775 FRANK SINATRA DR STE B
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3229
Mailing Address - Country:US
Mailing Address - Phone:760-832-7915
Mailing Address - Fax:760-832-9543
Practice Address - Street 1:72775 FRANK SINATRA DR STE B
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3229
Practice Address - Country:US
Practice Address - Phone:760-832-7915
Practice Address - Fax:760-832-9543
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2019-10-12
Deactivation Date:2018-06-25
Deactivation Code:
Reactivation Date:2019-10-10
Provider Licenses
StateLicense IDTaxonomies
CA55858122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1790838225OtherGROUP