Individual
SANFORD THOMAS GAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1448 BRIDGEGATE DR, DIAMOND BAR, CA 91765-3922
(909) 860-7767
Mailing address
1205 CORONA DR, GLENDALE, CA 91205-3701
(909) 860-7767
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28692
CA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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