Provider Demographics
NPI:1487751566
Name:MOKBEL, ROBERT G (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:MOKBEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9525 GARFIELD AVE
Mailing Address - Street 2:SUITE # A
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7206
Mailing Address - Country:US
Mailing Address - Phone:714-968-0308
Mailing Address - Fax:714-968-1308
Practice Address - Street 1:9525 GARFIELD AVE
Practice Address - Street 2:SUITE # A
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7206
Practice Address - Country:US
Practice Address - Phone:714-968-0308
Practice Address - Fax:714-968-1308
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA323681223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics