Robert Edward Maroon, D.D.S.,F.I.C.O.I
Dentist, General Practice in Chula Vista, CA. Individual provider (NPI-1).
NPI number1407926801
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407926801
- Entity type
- Individual (NPI-1)
- Name
- Robert Edward Maroon
- Credential
- D.D.S.,F.I.C.O.I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 43466 | CA | Yes |
Other names
- Robert Edward Maroon (Former Name)
Practice location
374 E H StSuite 1710
Chula Vista, CA 91910-7484
Phone 619-691-0400 · Fax 619-691-7783
Mailing address
374 E H StSuite 1710
Chula Vista, CA 91910-7484
Phone 619-691-0400 · Fax 619-691-7783
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