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NPI Code Detail

MEDICARE: CAROLYN GHAZAL AND DEAN LAMBRIDIS DENTAL CORPORATION

MEDICARE: CAROLYN GHAZAL AND DEAN LAMBRIDIS DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1336586411
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLYN GHAZAL AND DEAN LAMBRIDIS DENTAL CORPORATION
Provider Business Mailing Address
First Line : 17000 RED HILL AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-5626
Country : US
Telephone Number : 714-845-8890
Fax Number : 714-845-8803
Provider Business Practice Location Address
First Line : 3779 E CASTRO VALLEY BLVD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94552-4835
Country : US
Telephone Number : 510-581-0500
Fax Number : 510-581-0520
Authorized Official
Title or Position : OWNER
Name : DR. CAROLYN G GHAZAL
Credential : D.D.S.
Telephone Number : 510-581-0500
Provider Enumeration Date : 05/29/2013
Last Update Date : 05/29/2013

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Directions to “CAROLYN GHAZAL AND DEAN LAMBRIDIS DENTAL CORPORATION ” Practice Location

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