Provider Demographics
NPI:1578875829
Name:GOLBERT, BARBARA J (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:GOLBERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1920 OUTLET CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:805-983-0245
Mailing Address - Fax:805-983-0341
Practice Address - Street 1:1920 OUTLET CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036
Practice Address - Country:US
Practice Address - Phone:805-983-0245
Practice Address - Fax:805-983-0341
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice