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Individual

DINA SAN GABRIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
255 E ORANGE GROVE AVE, SUITE B, BURBANK, CA 91502-1240
(818) 557-0964
Mailing address
255 E ORANGE GROVE AVE, SUITE B, BURBANK, CA 91502-1240

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44218
CA

Other

Enumeration date
09/12/2014
Last updated
09/12/2014
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