Cristina B Gamboa, D.D.S.
Dentist, General Practice in Glendale, CA. Individual provider (NPI-1).
NPI number1144282963
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144282963
- Entity type
- Individual (NPI-1)
- Name
- Cristina B Gamboa
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 43600 | CA | Yes |
Practice location
125 E Glenoaks Blvd102
Glendale, CA 91207-2036
Phone 818-247-2611 · Fax 818-247-4387
Mailing address
125 E Glenoaks Blvd102
Glendale, CA 91207-2036
Phone 818-247-2611 · Fax 818-247-4387
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