Individual
BENJAMIN GELERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1855 SAN MIGUEL DR STE 20, WALNUT CREEK, CA 94596-5290
(909) 753-5755
Mailing address
925 IRVING ST APT 201, SAN FRANCISCO, CA 94122-2225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105327
CA
1223G0001X
General Practice Dentistry
Primary
105327
CA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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