Organization
GOULD DENTAL CORPORATION
Active
Other names
Modern American Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL DAVID GOULD DDS (PRESIDENT)
(310) 640-0967
Entity
Organization
Contact information
Practice address
1200 ROSECRANS AVE, 107, MANHATTAN BEACH, CA 90266-2462
(310) 640-0967
(310) 607-9292
Mailing address
1200 ROSECRANS AVE, 107, MANHATTAN BEACH, CA 90266-2462
(310) 640-0967
(310) 607-9292
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
48276
CA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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