Michael L Bobo, Dds, Md, Psc
NPI #1083800668 in Union City, Tennessee
Provider Information
- NPI Number
- 1083800668
- Entity Type
- Organization
- Organization Name
- Michael L Bobo, Dds, Md, Psc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Oct 9, 2019
Practice Location
- Address
- 1320 PLEASANT VALLEY AVE
- City
- Union City
- State
- Tennessee
- ZIP Code
- 38261-5958
- Phone
- (731) 885-7891
Authorized Official
- Name
- DR. MICHAEL L BOBO, DDS,MD,FACS
- Title
- PRESIDENT
- Phone
- (731) 885-7891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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| Mark M. Widloski, DDS |
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