Individual
DR. CHRIS GEORGE GERONTIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4040 PARK BLVD, OAKLAND, CA 94602
(510) 482-2400
(510) 482-9830
Mailing address
12939 BROOKPARN RD, OAKLAND, CA 94619
(510) 336-9725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42915
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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