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DR. GARY MICHAEL ALTENBURG D.D.S.
Endodontics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1356558852
Individual Registrant:DR. GARY MICHAEL ALTENBURG D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
39755 DATE ST SUITE 208 MURRIETA, CA 92563-2007 US
Tel: 951-677-0826 Fax: 951-677-0827
Tel: 951-677-0826 Fax: 951-677-0827
Contact information for business:
39755 DATE ST SUITE 208 MURRIETA, CA 92563-2007 US
Tel: 951-677-0826 Fax: 951-677-0827
Tel: 951-677-0826 Fax: 951-677-0827
Registration Information:
NPI: 1356558852
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223E0200X | Dental Providers Dentist Endodontics | CA | 46454 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
