Individual
DR. AMY A GIMLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
973 MANHATTAN BEACH BLVD STE C, MANHATTAN BEACH, CA 90266-5131
(310) 545-6525
(310) 546-6203
Mailing address
973 MANHATTAN BEACH BLVD STE C, MANHATTAN BEACH, CA 90266-5131
(310) 545-6525
(310) 546-6203
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53065
CA
Other
Enumeration date
05/01/2007
Last updated
05/07/2014
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