Organization
ANA M GAMA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA M GAMA DDS (PRESIDENT)
(909) 986-1003
Entity
Organization
Contact information
Practice address
6201 WHITTIER BLVD STE D, LOS ANGELES, CA 90022-4661
(323) 728-2008
(844) 361-2102
Mailing address
647 EAST E STREET, STE 103, ONTARIO, CA 91764
(909) 986-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D48269
CA
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609088541
NP II
CA
Enumeration date
05/04/2007
Last updated
01/13/2021
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