Individual
MR. GILBERTO ANTONIO NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH,RDHAP
Contact information
Practice address
38709 SUMAC AVE, PALMDALE, CA 93550-3739
(818) 300-6572
Mailing address
38709 SUMAC AVE, PALMDALE, CA 93550-3739
(818) 300-6572
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
AP320
CA
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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