Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 6387 | NE |
N | 1223D0001X | Dental Public Health | 08169 | IA |
NPI | 1538134044 |
---|---|
Provider Name | Dr. Karen M Bober |
First Address | Council Bluffs, IA 51501-8557 |
Second Address | Council Bluffs, IA 51503-9045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2006 |
Last Update Date | 08/07/2007 |