| Nicholas N.gadler, Dds, Inc | |
|
366 S Pierce St El Cajon CA 92020-4124 | |
| (619) 334-8880 | |
| (619) 334-8885 |
| Full Name | Nicholas N.gadler, Dds, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 366 S Pierce St, El Cajon, California |
| Authorized Official Name and Position | Nicholas Noel Gadler (OWNER) |
| Authorized Official Contact | 6193348880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas N.gadler, Dds, Inc 366 S Pierce St El Cajon CA 92020-4124 Ph: (619) 334-8880 | Nicholas N.gadler, Dds, Inc 366 S Pierce St El Cajon CA 92020-4124 Ph: (619) 334-8880 |
| NPI Number | 1225228083 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225228083 | NPI | - | NPPES |
| G91608-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D40239 (California) | Primary |
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