Individual
GABRIELA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3320 N LOS COYOTES DIAGONAL, LONG BEACH, CA 90808-3918
(562) 377-1375
Mailing address
3320 N LOS COYOTES DIAGONAL, LONG BEACH, CA 90808
(562) 377-1375
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
STUDENT, HEALTH CARE
CA
Enumeration date
08/15/2008
Last updated
03/17/2018
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