LORESE GERLONE GOMES VANDEMARK

MODESTO, CA
NPI1598832040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  43568)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- LORESE GERLONE GOMES VANDEMARK DDS
3340 TULLY ROAD STE D 6
MODESTO, CA 95350
Phone number: 209-526-0913
Mailing Address
-- LORESE GERLONE GOMES VANDEMARK DDS
3340 TULLY ROAD STE D 6
MODESTO, CA 95350
Phone number: 209-526-0913