Individual
ANTONIO GAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(714) 288-1035
(714) 288-2784
Mailing address
445 E HOME ST, LONG BEACH, CA 90805-6613
(562) 422-4344
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
49711
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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