Dr. Gregory Richard Bob, DDS
Dentist, General Practice in Waldorf, MD. Individual provider (NPI-1).
NPI number1942394036
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1942394036
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory Richard Bob
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10965 | MD | Yes |
Practice location
2955 Crain HwySuite O
Waldorf, MD 20601-2810
Phone 301-843-9330
Mailing address
5382 Harrow LnFairfax, VA 22030-7237
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All 66 General Practice Dentistry providers in Waldorf · All 2,202 providers in Waldorf
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