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Organization
SAN GABRIEL SUMMIT DENTAL, INC.
Active
Organization
SAN GABRIEL SUMMIT DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINA M SAN GABRIEL D.M.D. (DENTIST)
(818) 557-0964
Entity
Organization
Contact information
Practice address
255 E ORANGE GROVE AVE, SUITE B, BURBANK, CA 91502-1240
(818) 557-0964
(818) 848-1038
Mailing address
255 E ORANGE GROVE AVE, SUITE B, BURBANK, CA 91502-1240
(818) 557-0964
(818) 848-1038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44218
CA
Other
Enumeration date
02/06/2007
Last updated
01/29/2015
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