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Organization
GOUVION AND GRANT DENTISTRY
Active
Organization
GOUVION AND GRANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE A. GOUVION D.D.S. (PARTNER)
(949) 733-1860
Entity
Organization
Contact information
Practice address
18124 CULVER DR STE H, IRVINE, CA 92612-2729
(949) 733-1860
(949) 733-3156
Mailing address
18124 CULVER DR STE H, IRVINE, CA 92612-2729
(949) 733-1860
(949) 733-3156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19346
CA
1223G0001X
General Practice Dentistry
51070
CA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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