Organization
GARY M. PIROUTEK DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M. PIROUTEK DDS (PRESIDENT)
(714) 524-6100
Entity
Organization
Contact information
Practice address
2988 YORBA LINDA BLVD, FULLERTON, CA 92831-1523
(714) 524-6100
(714) 524-3101
Mailing address
2988 YORBA LINDA BLVD, FULLERTON, CA 92831-1523
(714) 524-6100
(714) 524-3101
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28225
CA
Other
Enumeration date
05/19/2007
Last updated
08/22/2020
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