JONATHAN GAO

SAN DIEGO, CA
NPI1497503676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  105515)
Enumeration Date2024-05-11
Last Update Date2024-05-11
Business Address
JONATHAN GAO
11368 FAIRWIND CT
SAN DIEGO, CA 92130-8639
Phone number: 858-602-2422
Mailing Address
JONATHAN GAO
11368 FAIRWIND CT
SAN DIEGO, CA 92130-8639
Phone number: 858-602-2422