G & M Dental Corporation

NPI #1578223582 in Upland, California

Provider Information

NPI Number: 1578223582
Entity Type: Organization
Organization Name: G & M Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Dec 20, 2021
Last Updated: Dec 20, 2021

Practice Location

Address: 1227 W FOOTHILL BLVD
City: Upland
State: California
ZIP Code: 91786-3681
Phone: (909) 608-0700

Authorized Official

Name: MRS. ROSELYN MANALO
Title: CREDENTIALING COORDINATOR
Phone: (714) 941-9328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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