Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN 16239 | FL |
N | 1223D0001X | Dental Public Health | HD 1-00470 | CO |
NPI | 1609914753 |
---|---|
Provider Name | Dr. Robert Alan Chod |
First Address | Delray Beach, FL 33446-3740 |
Second Address | West Palm Beach, FL 33401-5107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 18/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0755656-00 | (05) | FL |