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Organization
SAN GABRIEL FAMILY DENTISTRY
Active
Organization
SAN GABRIEL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSY LI (OWNER)
(626) 281-1628
Entity
Organization
Contact information
Practice address
531 W LAS TUNAS DR STE B, SAN GABRIEL, CA 91776-1166
(626) 281-1628
Mailing address
531 W LAS TUNAS DR STE B, SAN GABRIEL, CA 91776-1166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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