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Provider Information for 1699919910

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DR. ASHA GURZ DMD

Gender: FEMALE

Individual NPI: 1699919910

Calendar   Last Updated:  2009-04-30
  Certification Date: 

Details

Name Value
NPI 1699919910
Enumeration Date 2009-04-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1751 E D ST
ONTARIO, CA 91764-5667
United States

Phone: 951-595-5354 | Fax:
View Map External Link
Primary Practice Address 1751 E D ST
ONTARIO, CA 91764-5667
United States

Phone: 951-595-5354 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 54225