Individual
DR. GARRY G. GAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1550 TIBURON BLVD, SUITE Y, BELVEDERE TIBURON, CA 94920-2564
(415) 435-0941
(415) 435-1462
Mailing address
1550 TIBURON BLVD, SUITE Y, BELVEDERE TIBURON, CA 94920-2564
(415) 435-0941
(415) 435-1462
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22800
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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