Robert Rosenbaum
Dentist, General Practice in Modesto, CA. Individual provider (NPI-1).
NPI number1366087645
StatusActive
Last updated in NPPESNov 11, 2019
Details
- NPI
- 1366087645
- Entity type
- Individual (NPI-1)
- Name
- Robert Rosenbaum
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2019
- Last updated
- Nov 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 31100 | CA | Yes |
Practice location
2200 McHenry Ave Ste BModesto, CA 95350-3255
Phone 209-526-9132 · Fax 209-562-9131
Mailing address
2200 McHenry Ave Ste BModesto, CA 95350-3255
Phone 209-526-9132
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All 184 General Practice Dentistry providers in Modesto · All 10,803 providers in Modesto
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