Provider Demographics
NPI:1053494815
Name:GELUZ, CHERRYL REMORCA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHERRYL
Middle Name:REMORCA
Last Name:GELUZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WESTBOROUGH BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5413
Mailing Address - Country:US
Mailing Address - Phone:650-624-4021
Mailing Address - Fax:650-355-9170
Practice Address - Street 1:2400 WESTBOROUGH BLVD STE 207
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5413
Practice Address - Country:US
Practice Address - Phone:650-624-4021
Practice Address - Fax:650-355-9170
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42470122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist