Individual
BERNARD GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7521 W 82ND ST, PLAYA DEL REY, CA 90293-8806
(310) 866-1101
Mailing address
7521 W 82ND ST, PLAYA DEL REY, CA 90293-8806
(310) 866-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27522
CA
Other
Enumeration date
09/20/2006
Last updated
01/19/2012
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