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Contact Information

SCOTT E BOMBERG, DDS
30647 N 129TH AVE
PEORIA, AZ85383-7827
 Phone: 310-483-5040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for SCOTT E BOMBERG · (Male)

NPI Number 1740246305
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/24/2006
Last updated 02/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 6169
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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