Provider Demographics
NPI:1194149278
Name:MCFARLANE, ROBERT BRUCE (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRUCE
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 S LASKY DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1721
Mailing Address - Country:US
Mailing Address - Phone:310-903-1898
Mailing Address - Fax:204-947-9619
Practice Address - Street 1:153 S LASKY DR
Practice Address - Street 2:SUITE 6
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1721
Practice Address - Country:US
Practice Address - Phone:310-903-1898
Practice Address - Fax:204-947-9619
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA611261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics