Provider Demographics
NPI:1639912694
Name:GURNARI, NOELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:
Last Name:GURNARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:
Other - Last Name:BORING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1920 SHARP AVE
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4326
Mailing Address - Country:US
Mailing Address - Phone:916-296-6762
Mailing Address - Fax:
Practice Address - Street 1:1920 SHARP AVE
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4326
Practice Address - Country:US
Practice Address - Phone:916-296-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1101701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice