Individual
DR. GABRIEL ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1001 LONI DR, FORTUNA, CA 95540-2347
(707) 725-4409
Mailing address
1001 LONI DR, FORTUNA, CA 95540-2347
(707) 725-4409
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
52722
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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