| NPI | 1194344259 |
|---|---|
| Doing Business As | SAN GABRIEL DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | FAVIOLA SILVA Manager 323-835-6839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2021-03-23 |