Michael Lee Bobo DDS MD

NPI 1417031436 - Dentist - 1223S0112X

NPI Details
NPI 1417031436
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1109 POPLAR STREET
MURRAY KY, 42071, US
Phone (270) 759-4063
Fax (270) 759-4920
Business Location
1109 POPLAR STREET
MURRAY KY, 42071, US
Phone (270) 759-4063
Fax (270) 759-4920
Toxanomy
Taxonomy Code 1223S0112X
License State Kentucky
License Number 34759
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According to our database, Dr. Michael Lee Bobo DDS MD NPI is 1417031436, taxonomy code is 1223S0112X and license number is 34759, license state is located at Kentucky. Michael Lee Bobo DDS MD physically located at 1109 Poplar Street, Murray KY, 42071. NPI Number Michael Lee Bobo DDS MD has the Individual type.

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1417031436 NPI number is provided on an as is basis without warranty of any kind. 1417031436 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Lee Bobo DDS MD are for informational purposes only.