| Organization Name: | ROBERT N OBRADOVICH DMD LLC |
| NPI Number: | 1184782252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT NICKOLAS OBRADOVICH (CFO) |
| Mailing Address: | 4430 Rt 66 Apollo |
| State: | PA US |
| Postal Code: | 15613 |
| Phone Number: | 7247273471 |
| Fax Number: | 7247272316 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |