Provider Demographics
NPI:1124126495
Name:ROHMER, ROBERT JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:ROHMER
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 1:12587 HESPERIA RD STE B
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8308
Mailing Address - Country:US
Mailing Address - Phone:760-241-7084
Mailing Address - Fax:760-241-3415
Practice Address - Street 1:12587 HESPERIA RD STE B
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8308
Practice Address - Country:US
Practice Address - Phone:760-241-7084
Practice Address - Fax:760-241-3415
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA473131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice