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DR. GARRY G. GAST D.D.S.

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1952574980

Individual Registrant:
DR. GARRY G. GAST D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
1550 TIBURON BLVD SUITE Y BELVEDERE TIBURON, CA 94920-2564 US
Tel: 415-435-0941  Fax: 415-435-1462

Contact information for business:
1550 TIBURON BLVD SUITE Y BELVEDERE TIBURON, CA 94920-2564 US
Tel: 415-435-0941  Fax: 415-435-1462

Registration Information:
NPI: 1952574980
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CA22800

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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