Individual
MR. VIJAY M GABBITA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10513 ZENOR LN UNIT 34, SAN DIEGO, CA 92127-6810
(858) 395-7555
Mailing address
10513 ZENOR LN UNIT 34, SAN DIEGO, CA 92127-6810
(858) 395-7555
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
4NGJ402
CA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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