Gardner & Garcia, A Professional Dental Corporation
Dentist in Redondo Beach, CA. Organization (NPI-2).
NPI number1790766129
StatusActive
Last updated in NPPESMay 20, 2015
Details
- NPI
- 1790766129
- Entity type
- Organization (NPI-2)
- Legal business name
- Gardner & Garcia, A Professional Dental Corporation
- Organization subpart
- No
- Enumeration date
- Nov 11, 2005
- Last updated
- May 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 29877 | CA | Yes |
Practice location
1235 S Gertruda AveRedondo Beach, CA 90277-5125
Phone 310-543-1938 · Fax 310-543-9796
Mailing address
1235 S Gertruda AveRedondo Beach, CA 90277-5125
Phone 310-543-1938 · Fax 310-543-9796
Authorized official
Linda Jo Gardner
President
3105431938
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