Organization
BLOOMFIELD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GABRIEL SCALAS DDS (PARTNER)
(714) 827-4990
Entity
Organization
Contact information
Practice address
9201 BLOOMFIELD AVE, CYPRESS, CA 90630-2403
(714) 827-4990
Mailing address
9201 BLOOMFIELD AVE, CYPRESS, CA 90630-2403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19360
CA
122300000X
Dentist
Primary
47559
CA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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