Gabriel Henao Dds, Inc

NPI 1053731570 - Dentist - 1223G0001X

NPI Details
NPI 1053731570
Enumeration Date 04/23/2014
Last Updated 04/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GABRIEL GABRIEL
Position PRESIDENT
Phone (661) 250-9600
Fax (661) 250-9601
Practice Location
18772 FLYING TIGER DR
CANYON COUNTRY CA, 91387, US
Phone (661) 250-9600
Fax (661) 250-9601
Business Location
18772 FLYING TIGER DR
CANYON COUNTRY CA, 91387, US
Phone (661) 250-9600
Fax (661) 250-9601
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 55971
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According to our database, Gabriel Henao Dds, Inc NPI is 1053731570, taxonomy code is 1223G0001X and license number is 55971, license state is located at California. Gabriel Henao Dds, Inc physically located at 18772 Flying Tiger Dr, Canyon Country CA, 91387. NPI Number 1033115704 has the healthcare provider type.

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1053731570 NPI number is provided on an as is basis without warranty of any kind. 1053731570 is maintained by the National Plan & Provider Enumeration System. The contents of Gabriel Henao Dds, Inc are for informational purposes only.