Organization
GARDNER FAMILY HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA ORTIZ (CREDENTIALLING SPECIALIST)
(408) 918-2618
Entity
Organization
Contact information
Practice address
7526 MONTEREY ST, GILROY, CA 95020-5826
(408) 848-9400
Mailing address
160 E VIRGINIA ST, SUITE 100, SAN JOSE, CA 95112-5857
(408) 918-2618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63902
CA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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