Individual
DR. JUDY TAMAR GILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2515 EASTBLUFF DR, NEWPORT BEACH, CA 92660-3504
(949) 640-5050
Mailing address
28291 EL SUR, LAGUNA NIGUEL, CA 92677-4423
(408) 607-4909
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57094
CA
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/22/2008
Last updated
01/05/2022
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