C.g. Ghazal Dental Corporation

NPI #1124427729 in Novato, California

Provider Information

NPI Number: 1124427729
Entity Type: Organization
Organization Name: C.g. Ghazal Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 948 DIABLO AVE
City: Novato
State: California
ZIP Code: 94947-4025
Phone: (415) 897-8020

Authorized Official

Name: CAROLYN GHAZAL, DDS
Title: OWNER DOCTOR
Phone: (415) 897-8020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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