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General NPI Number Information
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NPI Number | 1487056941
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Entity Type | Organization
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Legal Business Name | GRETCHEN S. GADWOOD, D.D.S., INC.
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 500 ALFRED NOBEL DR. #155
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City | HERCULES
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State | CA
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Zip | 94547
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Country | US
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Telephone | 510-672-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 SILVERHILL CT
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City | LAFAYETTE
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State | CA
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Zip | 94549-1735
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Country | US
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Telephone | 510-672-1556
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GRETCHEN S. GADWOOD
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Credential | D.D.S.
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Telephone | 510-672-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CA
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