| Gamboa Dental Group | |
|
10818 Nw 58th St Doral FL 33178-2854 | |
| (305) 477-7601 | |
| (305) 471-0137 |
| Full Name | Gamboa Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 10818 Nw 58th St, Doral, Florida |
| Authorized Official Name and Position | Jannet Elena Gamboa (DENTIST) |
| Authorized Official Contact | 3054777601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gamboa Dental Group 10818 Nw 58th St Doral FL 33178-2854 Ph: (305) 477-7601 | Gamboa Dental Group 10818 Nw 58th St Doral FL 33178-2854 Ph: (305) 477-7601 |
| NPI Number | 1992204531 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992204531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18622 (Florida) | Primary |
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