| NPI | 1861934861 |
|---|---|
| Doing Business As | GILBERTO GASTELUM RUELAS |
| Entity Type | Organization |
| Authorized Contact | GILBERTO GASTELUM RUELAS Dentist 800-743-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 3151869) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |