MEDICARE: DR. GARY TOTTEN D.M.D.

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
1	1223G0001X	General Practice Dentistry	32190	CA

General Provider Information

NPI Number	:	1033134127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY TOTTEN D.M.D.

Provider Business Mailing Address
First Line	:	1667 N MOUNTAIN AVE
Second Line	:	SUITE 125
City	:	UPLAND
State	:	CA
Zip	:	91784-1781
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1667 N MOUNTAIN AVE
Second Line	:	SUITE 125
City	:	UPLAND
State	:	CA
Zip	:	91784-1781
Country	:	US
Telephone Number	:	909-981-4711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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