Provider Demographics
NPI:1962474445
Name:GHER, MARLIN E JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARLIN
Middle Name:E
Last Name:GHER
Suffix:JR
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 1:2014 SUBIDA TER
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-7924
Mailing Address - Country:US
Mailing Address - Phone:760-942-6358
Mailing Address - Fax:
Practice Address - Street 1:230 F STREET, SUITE C
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2845
Practice Address - Country:US
Practice Address - Phone:619-427-4336
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA319181223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics