Grdentistry Gilberto Olagueddsaprofessionalcorporation
Grdentistry Gilberto Olagueddsaprofessionalcorporation is an Exclusive Provider Organization in Banning, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
3559 W Ramsey St Ste C1Banning, CA 92220-3505
Phone: (951) 922-3993
Fax: (951) 922-3991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 59467 (CA) |
|---|
Record details
| NPI number | 1952713950 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gilberto Olague — President · (805) 404-1451 |
| NPI enumerated | May 24, 2014 |
| Last updated in NPPES | May 24, 2014 |
| Mailing address | 3559 W Ramsey St Ste C1, Banning, CA 92220-3505 |