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Organization
MARY LOU GAERLAN DDS DENTAL CORP
Active
Organization
MARY LOU GAERLAN DDS DENTAL CORP
Active
Other names
Windsmile Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONN MANALILI (BILLING MANAGER)
(707) 631-5994
Entity
Organization
Contact information
Practice address
4757 MANGELS BLVD, FAIRFIELD, CA 94534-4175
(707) 864-1010
(707) 864-8051
Mailing address
4757 MANGELS BLVD, FAIRFIELD, CA 94534-4175
(707) 864-1010
(707) 864-8051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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