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Organization

BERT D. ROULEAU D.M.D, M.S. INK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIELA A MARTINEZ (RDA)
(650) 964-6400
Entity
Organization

Contact information

Practice address
1174 CASTRO ST STE 120, MOUNTAIN VIEW, CA 94040-2569
(650) 964-6400
(650) 964-0797
Mailing address
1174 CASTRO ST STE 120, MOUNTAIN VIEW, CA 94040-2569
(650) 964-6400
(650) 964-0797

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
CA

Other

Enumeration date
02/12/2007
Last updated
07/21/2022
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