Healthcare Provider Details

I. General information

NPI: 1881518330
Provider Name (Legal Business Name): MARIANNE GAID DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6462 WESTMINSTER BLVD
WESTMINSTER CA
92683-3601
US

IV. Provider business mailing address

2849 TARRAGON CT
FULLERTON CA
92835-4308
US

V. Phone/Fax

Practice location:
  • Phone: 714-898-8728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: