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Organization
GUS HUERTA DDS INC
Active
Organization
GUS HUERTA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUS JOSEPH HUERTA JR. DDS (DENTIST OWNER PRESIDENT)
(815) 995-8484
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE 204, SHERMAN OAKS, CA 91403
(818) 995-8484
(818) 995-3506
Mailing address
4910 VAN NUYS BLVD, SUITE 204, SHERMAN OAKS, CA 91403
(818) 995-8484
(818) 995-3506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32320
CA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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