# GOULD DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern American Sleep Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134503535
- **Authorized official:** DR. JOEL DAVID GOULD DDS (PRESIDENT)
- **Authorized official phone:** (310) 640-0967

## Contact information

- **Practice address:** 1200 ROSECRANS AVE, 107, MANHATTAN BEACH, CA 90266-2462
- **Practice address phone:** (310) 640-0967
- **Practice address fax:** (310) 607-9292
- **Mailing address:** 1200 ROSECRANS AVE, 107, MANHATTAN BEACH, CA 90266-2462
- **Mailing address phone:** (310) 640-0967
- **Mailing address fax:** (310) 607-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 48276 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 07/15/2015
