Organization
NICHOLAS N.GADLER, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NOEL GADLER DDS (OWNER)
(619) 334-8880
Entity
Organization
Contact information
Practice address
366 S PIERCE ST, EL CAJON, CA 92020-4124
(619) 334-8880
(619) 334-8885
Mailing address
366 S PIERCE ST, EL CAJON, CA 92020-4124
(619) 334-8880
(619) 334-8885
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D40239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G91608-01
—
CA
Enumeration date
07/27/2007
Last updated
06/03/2013
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