Provider Demographics
NPI:1780729525
Name:LOBATO, ROBIN DALE (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:DALE
Last Name:LOBATO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9061 W SAHARA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5797
Mailing Address - Country:US
Mailing Address - Phone:702-877-0500
Mailing Address - Fax:702-877-9291
Practice Address - Street 1:9061 W SAHARA AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5797
Practice Address - Country:US
Practice Address - Phone:702-877-0500
Practice Address - Fax:702-877-9291
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV27421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice