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Organization
GILL PROFESSIONAL DENTAL CORPORATION
Active
Organization
GILL PROFESSIONAL DENTAL CORPORATION
Active
Other names
PROMENADE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARDEEP GILL DDS (OWNER DOCTOR)
(916) 285-6691
Entity
Organization
Contact information
Practice address
3635 NORTH FREWAY BLVD, SUITE 110, SACRAMENTO, CA 95834
(916) 285-6691
(916) 575-9783
Mailing address
2860 MICHELLE DRIVE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
08/13/2013
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