Individual
DR. CAROLYN G GHAZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Mailing address
10797 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3858
(909) 581-0888
(909) 581-1977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38682
CA
1223G0001X
General Practice Dentistry
4987
NV
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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