Provider Demographics
NPI:1679763916
Name:ROBERT B GERBER DDS A PROF CORP
Entity Type:Organization
Organization Name:ROBERT B GERBER DDS A PROF CORP
Other - Org Name:TOWER DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-652-0450
Mailing Address - Street 1:8631 WEST THIRD STREET
Mailing Address - Street 2:SUITE 730E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5911
Mailing Address - Country:US
Mailing Address - Phone:310-652-0450
Mailing Address - Fax:310-652-0458
Practice Address - Street 1:8631 WEST THIRD STREET
Practice Address - Street 2:SUITE 730E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5911
Practice Address - Country:US
Practice Address - Phone:310-652-0450
Practice Address - Fax:310-652-0458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA161531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty