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Individual

ABBY GAIL GAIL SHALABY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 EL CERRITO PLZ, EL CERRITO, CA 94530-4002
(628) 444-8975
Mailing address
2302 VALDEZ ST APT 345, OAKLAND, CA 94612-3195
(628) 444-8975

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
103459
CA
1223G0001X
General Practice Dentistry
Primary
DN122584
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR60854921
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2018
Last updated
02/22/2022
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