Provider Demographics
NPI:1275636789
Name:EL-OSKOF, GLORIA H (DDS)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:H
Last Name:EL-OSKOF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5509 YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9648
Mailing Address - Country:US
Mailing Address - Phone:714-715-4001
Mailing Address - Fax:
Practice Address - Street 1:5509 YOUNG ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9648
Practice Address - Country:US
Practice Address - Phone:714-715-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA380181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice