Goodis Robert K Gen Ptr in Los Alamitos - Dentist
Goodis Robert K Gen Ptr - NPI 1295949857
Goodis Robert K Gen Ptr is a Dentist in Los Alamitos, California. Goodis Robert K Gen Ptr practices all healthcare services and medical treatments related to Dentist. The NPI Number for Goodis Robert K Gen Ptr is 1295949857. The last update date is 2008-07-11.
Goodis Robert K Gen Ptr's current location address is 3724 Katella Ave, Los Alamitos, California. You can contact this provider via phone number 5629360071 and fax number 5628668190. The mailing address for Goodis Robert K Gen Ptr is 3724 Katella Ave, Los Alamitos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goodis Robert K Gen Ptr |
|---|---|
| Address | 3724 Katella Ave, Los Alamitos, California |
| Phone Number | 5629360071 |
| Fax Number | 5628668190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Weiner I Nate |
| Credentials | DDS |
| Telephone Number | 5629360071 |
NPI Number Detail
| NPI Number | 1295949857 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 3724 Katella Ave |
|---|---|
| City | Los Alamitos |
| State | California (CA) |
| Post Code | 907203102 |
| Phone Number | 5629360071 |
| Fax Number | 5628668190 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Goodis Robert K Gen Ptr by the Centers for Medicare & Medicaid Services?
The Goodis Robert K Gen Ptr has been assigned the NPI (National Provider Identifier) 1295949857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Goodis Robert K Gen Ptr's facilities are geographically located?
The facilities of Goodis Robert K Gen Ptr are physically situated at the following location: 3724 Katella Ave, Los Alamitos, CA, 907203102.
What is the Goodis Robert K Gen Ptr's specialty and taxonomy code?
The Goodis Robert K Gen Ptr's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Goodis Robert K Gen Ptr receive the assignment of its 1295949857 from the Centers for Medicare & Medicaid Services?
The Goodis Robert K Gen Ptr was issued its 1295949857 by the Centers for Medicare & Medicaid Services on 2007-05-10.
When was the information regarding Goodis Robert K Gen Ptr, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Goodis Robert K Gen Ptr, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-11.
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