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Organization
GENTLE CARE FAMILY DENTISTRY, ELVIE C. NATHANSON D.M.D., INC.
Active
Organization
GENTLE CARE FAMILY DENTISTRY, ELVIE C. NATHANSON D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIE CERVAS NATHANSON (PRESIDENT)
(619) 420-1144
Entity
Organization
Contact information
Practice address
340 4TH AVE., SUITE 16, CHULA VISTA, CA 91910-3896
(619) 420-1144
(619) 420-2373
Mailing address
340 4TH AVE., SUITE 16, CHULA VISTA, CA 91910-3896
(619) 420-1144
(619) 420-2373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49158
CA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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