Organization
CRISTINA B GAMBOA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA B GAMBOA DDS (PRESIDENT)
(818) 247-2611
Entity
Organization
Contact information
Practice address
125 E GLENOAKS BLVD, 102, GLENDALE, CA 91207
(818) 247-2611
(818) 247-4387
Mailing address
125 E GLEN OAKS BLVD, 102, GLENDALE, CA 91207
(818) 247-2611
(818) 247-4387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B43600
CA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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