Organization
DRS. GAST AND GRIFFIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY G. GAST DDS (ORTHODONTIST)
(415) 892-0736
Entity
Organization
Contact information
Practice address
190 SAN MARIN DR, NOVATO, CA 94945-1218
(415) 892-0736
Mailing address
190 SAN MARIN DR, NOVATO, CA 94945-1218
(415) 892-0736
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22800
CA
Other
Enumeration date
04/17/2007
Last updated
06/12/2008
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