Provider Demographics
NPI:1295856862
Name:GAMA, ANA MARGARITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARGARITA
Last Name:GAMA
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 1:1270 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-4688
Mailing Address - Country:US
Mailing Address - Phone:909-873-3130
Mailing Address - Fax:909-873-4930
Practice Address - Street 1:1270 W FOOTHILL BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-4688
Practice Address - Country:US
Practice Address - Phone:909-873-3130
Practice Address - Fax:909-873-4930
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48269122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist