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General NPI Number Information
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NPI Number | 1306733829
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Entity Type | Individual
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Provider Name | GABRIELLA RIES DDS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1820 SONOMA AVE STE 42
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City | SANTA ROSA
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State | CA
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Zip | 95405-6617
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Country | US
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Telephone | 707-528-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 9083 OAK RIDGE PLANTATION DR
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City | CALABASH
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State | NC
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Zip | 28467-3078
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10018917
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License Number State | CA
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