| Gabriel Henao Dds, Inc | |
|
18772 Flying Tiger Dr Canyon Country CA 91387 | |
| (661) 250-9600 | |
| (661) 250-9601 |
| Full Name | Gabriel Henao Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18772 Flying Tiger Dr, Canyon Country, California |
| Authorized Official Name and Position | Gabriel Henao (PRESIDENT) |
| Authorized Official Contact | 6612874352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Henao Dds, Inc 18772 Flying Tiger Dr Canyon Country CA 91387 Ph: (661) 250-9600 | Gabriel Henao Dds, Inc 18772 Flying Tiger Dr Canyon Country CA 91387 Ph: (661) 250-9600 |
| NPI Number | 1053731570 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053731570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55971 (California) | Primary |
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