Individual
DR. GARRETT DAVID GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
(773) 588-8208
Mailing address
8700 DIXIE HIGHWAY, LOUISVILLE, KY 40258
(502) 935-0505
(502) 935-2602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028623
IL
122300000X
Dentist
56258
CA
122300000X
Dentist
Primary
9844
KY
Other
Enumeration date
04/18/2008
Last updated
09/02/2016
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