| Cristina B Gamboa Dds Inc | |
|
125 E Glenoaks Blvd 102 Glendale CA 91207 | |
| (818) 247-2611 | |
| (818) 247-4387 |
| Full Name | Cristina B Gamboa Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 E Glenoaks Blvd, Glendale, California |
| Authorized Official Name and Position | Cristina B Gamboa (PRESIDENT) |
| Authorized Official Contact | 8182472611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina B Gamboa Dds Inc 125 E Glen Oaks Blvd 102 Glendale CA 91207 Ph: (818) 247-2611 | Cristina B Gamboa Dds Inc 125 E Glenoaks Blvd 102 Glendale CA 91207 Ph: (818) 247-2611 |
| NPI Number | 1821278508 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821278508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | B43600 (California) | Primary |
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