Individual
DR. GABRIEL DERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
28521 PASEO DIANA, SAN JUAN CAPISTRANO, CA 92675-2905
(949) 275-7539
(949) 496-2034
Mailing address
28521 PASEO DIANA, SAN JUAN CAPISTRANO, CA 92675-2905
(949) 275-7539
(949) 496-2034
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5841T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T006
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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