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Organization
GOMES TOBON DENTAL CORPORATION
Active
Organization
GOMES TOBON DENTAL CORPORATION
Active
Other names
CDI Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEBER JANUARIO GOMES CCS (PRESIDENT)
(310) 936-6517
Entity
Organization
Contact information
Practice address
2690 PACIFIC AVE, SUITE 250, LONG BEACH, CA 90806-2657
(310) 936-6517
(562) 317-5260
Mailing address
2690 PACIFIC AVE, SUITE 250, LONG BEACH, CA 90806
(310) 936-6517
(562) 317-5260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63324
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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