Provider Demographics
NPI:1922126226
Name:STRAHS, GAIL RITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:RITA
Last Name:STRAHS
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 1:10586 WEST PICO BLVD UNIT 316
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-208-7224
Mailing Address - Fax:310-208-0027
Practice Address - Street 1:10586 WEST PICO BLVD UNIT 316
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-208-7224
Practice Address - Fax:310-208-0027
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2021-09-28
Deactivation Date:2020-10-14
Deactivation Code:
Reactivation Date:2021-09-21
Provider Licenses
StateLicense IDTaxonomies
CA261321223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery