| Gouvion And Grant Dentistry | |
|
18124 Culver Dr Ste H Irvine CA 92612-2729 | |
| (949) 733-1860 | |
| (949) 733-3156 |
| Full Name | Gouvion And Grant Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18124 Culver Dr Ste H, Irvine, California |
| Authorized Official Name and Position | Wayne A. Gouvion (PARTNER) |
| Authorized Official Contact | 9497331860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gouvion And Grant Dentistry 18124 Culver Dr Ste H Irvine CA 92612-2729 Ph: (949) 733-1860 | Gouvion And Grant Dentistry 18124 Culver Dr Ste H Irvine CA 92612-2729 Ph: (949) 733-1860 |
| NPI Number | 1730484320 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730484320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19346 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 51070 (California) | Secondary |
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