GIDEON G EVANGELISTA

LOS ANGELES, CA
NPI1417167388
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  32066)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Dr. GIDEON G EVANGELISTA DDS
5029 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-1923
Phone number: 323-256-4306
Mailing Address
Dr. GIDEON G EVANGELISTA DDS
5029 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-1923
Phone number: 323-256-4306