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Organization
NOSTI AND GILL DENTAL CORPORATIOM
Active
Organization
NOSTI AND GILL DENTAL CORPORATIOM
Active
Other names
Petaluma Modern Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARDEEP K GILL DDS (OWNER)
(707) 789-9600
Entity
Organization
Contact information
Practice address
401 KENILWORTH DR STE 960, PETALUMA, CA 94952-3406
(707) 789-9600
(707) 789-9549
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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