Organization
SAN GABRIEL DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN GABRIEL REYES I D.D.S. (PRESIDENT)
(323) 728-5786
Entity
Organization
Contact information
Practice address
3534 W BEVERLY BLVD, MONTEBELLO, CA 90640-1541
(323) 728-5786
(323) 728-8859
Mailing address
3534 W BEVERLY BLVD, MONTEBELLO, CA 90640-1541
(323) 728-5786
(323) 728-8859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46945
CA
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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