Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 31997 | CA |
NPI | 1679627731 |
---|---|
Provider Name | Dr. Robert Seitz |
First Address | Bakersfield, CA 93314-6663 |
Second Address | Lone Pine, CA 93545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 06/12/2007 |