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General NPI Number Information
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NPI Number | 1285875872
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Entity Type | Organization
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Legal Business Name | HARPREET S GILL DDS INC
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 1584 W BASE LINE ST STE 103
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1746
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Country | US
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Telephone | 909-885-3100
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Fax | 909-885-0300
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Provider Business Mailing Address
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Address Line | 1584 W BASE LINE ST STE 103
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-1746
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Country | US
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Telephone | 909-885-3100
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Fax | 909-885-0300
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELOISA GONZALEZ
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Credential |
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Telephone | 909-885-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 34845
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License Number State | CA
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