San Gabriel Summit Dental, Inc.

NPI #1750421319 in Burbank, California

Provider Information

NPI Number: 1750421319
Entity Type: Organization
Organization Name: San Gabriel Summit Dental, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 6, 2007
Last Updated: Jan 29, 2015

Practice Location

Address: 255 E ORANGE GROVE AVE
Address 2: SUITE B
City: Burbank
State: California
ZIP Code: 91502-1240
Phone: (818) 557-0964

Authorized Official

Name: DR. DINA M SAN GABRIEL, D.M.D.
Title: DENTIST
Phone: (818) 557-0964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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