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Individual

CRISTINA B GAMBOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
125 E GLENOAKS BLVD, 102, GLENDALE, CA 91207-2036
(818) 247-2611
(818) 247-4387
Mailing address
125 E GLENOAKS BLVD, 102, GLENDALE, CA 91207-2036
(818) 247-2611
(818) 247-4387

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43600
CA

Other

Enumeration date
04/05/2006
Last updated
07/08/2007
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