Grdentistry Gilberto Olagueddsaprofessionalcorporation
NPI #1952713950 in Banning, California
Provider Information
- NPI Number
- 1952713950
- Entity Type
- Organization
- Organization Name
- Grdentistry Gilberto Olagueddsaprofessionalcorporation
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- May 24, 2014
- Last Updated
- May 24, 2014
Practice Location
- Address
- 3559 W RAMSEY ST STE C1
- City
- Banning
- State
- California
- ZIP Code
- 92220-3505
- Phone
- (951) 922-3993
Authorized Official
- Name
- DR. GILBERTO OLAGUE, DDS
- Title
- PRESIDENT
- Phone
- (805) 404-1451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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