| San Gabriel Dental Practice | |
|
3534 W Beverly Blvd Montebello CA 90640-1541 | |
| (323) 728-5786 | |
| (323) 728-8859 |
| Full Name | San Gabriel Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3534 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Martin Gabriel Reyes (PRESIDENT) |
| Authorized Official Contact | 3237285786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Dental Practice 3534 W Beverly Blvd Montebello CA 90640-1541 Ph: (323) 728-5786 | San Gabriel Dental Practice 3534 W Beverly Blvd Montebello CA 90640-1541 Ph: (323) 728-5786 |
| NPI Number | 1912300427 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912300427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46945 (California) | Primary |
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