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Dr. Gideon G Evangelista, DDS
General Practice Dentistry in Los Angeles, California
NPI 1417167388

Gideon G Evangelista is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Gideon G Evangelista practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Gideon G Evangelista is 1417167388 and holds a License No. 32066 (California).

The current practice location address for Gideon G Evangelista is 5029 Eagle Rock Blvd, Los Angeles, CA and can be reached out via phone at 323-256-4306.

Location: 5029 Eagle Rock Blvd, Los Angeles, CA, 90041-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417167388
Provider Name
Gideon G Evangelista
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5029 Eagle Rock Blvd, Los Angeles, CA, 90041-1923
Phone Number
323-256-4306
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5029 Eagle Rock Blvd
City
Los Angeles
State
California
Zip
90041-1923
Phone Number
323-256-4306
Fax Number
person
Provider Business Mailing Address Details
Address
5029 Eagle Rock Blvd
City
Los Angeles
State
California
Zip
90041-1923
Phone Number
323-256-4306
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
32066 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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