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NPI Code Detail

MEDICARE: THE ORTHODONTIC OFFICE OF DR. ANN MARIE GORCZYCA

MEDICARE: THE ORTHODONTIC OFFICE OF DR. ANN MARIE GORCZYCA
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry40756CA

General Provider Information

NPI Number : 1184705717
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ORTHODONTIC OFFICE OF DR. ANN MARIE GORCZYCA
Provider Business Mailing Address
First Line : 5201 DEER VALLEY RD
Second Line : SUITE 1-A
City : ANTIOCH
State : CA
Zip : 94531-7429
Country : US
Telephone Number : 925-757-9000
Fax Number : 925-757-9651
Provider Business Practice Location Address
First Line : 5201 DEER VALLEY RD
Second Line : SUITE 1-A
City : ANTIOCH
State : CA
Zip : 94531-7429
Country : US
Telephone Number : 925-757-9000
Fax Number : 925-757-9651
Authorized Official
Title or Position : OWNER
Name : ANN MARIE GORCZYCA
Credential : D.M.D., M.P.H., M.S.
Telephone Number : 925-757-9000
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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1649351255 — ANN MARIE GORCZYCA D.M.D., M.P.H., M.S.
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Practice Location Address:
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1598804619 — MR. RIGO MARTIN DDS
Practice Location Address:
5201 DEER VALLEY ROAD , SUITE 3C
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Directions to “THE ORTHODONTIC OFFICE OF DR. ANN MARIE GORCZYCA ” Practice Location

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