YADIRA L. GAMEZ DENTAL INC
Managed Care Organizations at Dairy Mart Rd, San Diego, CA

License number
California 38798
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. YADIRA L. GAMEZ DDS
Title: PRESIDENT
Phone: (619) 428-2436
Address
Address
2004 Dairy Mart Rd STE 120, San Diego, CA 92173
National Provider ID: 1841565579
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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YADIRA L GAMEZ DENTAL INC

2004 Dairy Mart Rd STE 120, San Ysidro, CA 92173

Registration:
Aug 31, 2011
State ID:
C3409414
Business type:
Articles of Incorporation
President:
Yadira L. Gamez (President)
Agent:
Ken Hendrickson,San Diego, CA 92103 (Physical)

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