Provider Demographics
NPI:1235327297
Name:UNATIN, GILBERT S (DDS)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:S
Last Name:UNATIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900A SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-5503
Mailing Address - Country:US
Mailing Address - Phone:562-430-1054
Mailing Address - Fax:562-430-1547
Practice Address - Street 1:1900A SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5503
Practice Address - Country:US
Practice Address - Phone:562-430-1054
Practice Address - Fax:562-430-1547
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice