DR. Robert K Mondavi, DDS

NPI #1134386097 in Torrance, California

Provider Information

NPI Number: 1134386097
Entity Type: Individual
Name: DR. Robert K Mondavi, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 19, 2008
Last Updated: May 19, 2008

Practice Location

Address: 17311 YUKON AVE
City: Torrance
State: California
ZIP Code: 90504
Phone: (310) 324-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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