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Organization
GABRIEL J LARREA DMD A PROFESSIONAL DENTAL CORPORATION
Active
Organization
GABRIEL J LARREA DMD A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL JOSE LARREA DMD (OWNER)
(818) 956-3754
Entity
Organization
Contact information
Practice address
6425 SAN FERNANDO RD, GLENDALE, CA 91201-3624
(818) 956-3754
Mailing address
6425 SAN FERNANDO RD, GLENDALE, CA 91201-3624
(818) 956-3754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
04/23/2025
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