Organization
GILMORE ORTHODONTICS DENTAL PRACTICE
Active
Other names
Gilmore Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GODDEYNE (FINANCIAL COORDINATOR)
(858) 433-7377
Entity
Organization
Contact information
Practice address
9870 HIBERT ST STE D9, SAN DIEGO, CA 92131-1091
(858) 433-7377
Mailing address
9870 HIBERT ST STE D9, SAN DIEGO, CA 92131-1091
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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