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DR. GABRIEL ENRIQUEZ D.D.S., M.S.
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1528169745
Individual Registrant:DR. GABRIEL ENRIQUEZ D.D.S., M.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1001 LONI DR FORTUNA, CA 95540-2347 US
Tel: 707-725-4409 Fax: --
Tel: 707-725-4409 Fax: --
Contact information for business:
1001 LONI DR FORTUNA, CA 95540-2347 US
Tel: 707-725-4409 Fax: --
Tel: 707-725-4409 Fax: --
Registration Information:
NPI: 1528169745
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | CA | 52722 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
