| J. Brent Gorrell, Dds | |
|
809 Cuesta Dr Suite 205 Mountain View CA 94040-3667 | |
| (650) 967-1441 | |
| (650) 967-7341 |
| Full Name | J. Brent Gorrell, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 809 Cuesta Dr, Mountain View, California |
| Authorized Official Name and Position | James Brent Gorrell (DENTIST) |
| Authorized Official Contact | 6509671441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Brent Gorrell, Dds 809 Cuesta Dr Suite 205 Mountain View CA 94040-3667 Ph: (650) 967-1441 | J. Brent Gorrell, Dds 809 Cuesta Dr Suite 205 Mountain View CA 94040-3667 Ph: (650) 967-1441 |
| NPI Number | 1215239819 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215239819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 28559 (California) | Primary |
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