Organization
GARDNER FAMILY HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE BARGHOUTH DDS (DENTAL DIRECTOR)
(408) 918-2667
Entity
Organization
Contact information
Practice address
55 E JULIAN ST, SAN JOSE, CA 95112-4007
(408) 918-2626
(408) 280-0672
Mailing address
7526 MONTEREY ST, GILROY, CA 95020-5826
(408) 848-9436
(408) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58660
CA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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