Organization
J. BRENT GORRELL, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRENT GORRELL D.D.S. (DENTIST)
(650) 967-1441
Entity
Organization
Contact information
Practice address
809 CUESTA DR, SUITE 205, MOUNTAIN VIEW, CA 94040-3667
(650) 967-1441
(650) 967-7341
Mailing address
809 CUESTA DR, SUITE 205, MOUNTAIN VIEW, CA 94040-3667
(650) 967-1441
(650) 967-7341
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28559
CA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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