Gottlieb, Robert Martin

Gottlieb, Robert Martin is an individual health care provider with primary practice located at 5723 Ne Bothell Way Suite C, Kenmore WA 98028. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gottlieb, Robert Martin can be contacted via phone (425) 486-9111.

Contact Information

Primary practice address
5723 Ne Bothell Way Suite C Kenmore WA 98028
Fax: (425) 489-1923
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 5424 Washington

Profile Details

NPI number 1982756920
LBN Legal business name Gottlieb, Robert Martin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982756920 NPPES
Washington Other 5424 WDS #

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