Provider Demographics
NPI:1790961886
Name:GILBERT S. LIMHENGCO DMD INC.
Entity Type:Organization
Organization Name:GILBERT S. LIMHENGCO DMD INC.
Other - Org Name:SMILE MAKERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMHENGCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:916-344-6777
Mailing Address - Street 1:1906 DEL PASO RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7700
Mailing Address - Country:US
Mailing Address - Phone:916-263-9888
Mailing Address - Fax:916-344-0755
Practice Address - Street 1:1906 DEL PASO RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7700
Practice Address - Country:US
Practice Address - Phone:916-263-9888
Practice Address - Fax:916-344-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39033122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty