Mary Lou Gaerlan DDS Dental Corp
NPI #1225861297 in Fairfield, California
Provider Information
- NPI Number
- 1225861297
- Entity Type
- Organization
- Organization Name
- Mary Lou Gaerlan DDS Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 23, 2024
- Last Updated
- Aug 23, 2024
Practice Location
- Address
- 4757 MANGELS BLVD
- City
- Fairfield
- State
- California
- ZIP Code
- 94534-4175
- Phone
- (707) 864-1010
Authorized Official
- Name
- MR. DONN MANALILI
- Title
- BILLING MANAGER
- Phone
- (707) 631-5994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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