Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 42654 | CA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 42654 | CA |
NPI | 1447228523 |
---|---|
Provider Name | Dr. David H. Gilbert |
First Address | Upland, CA 91786-4052 |
Second Address | Upland, CA 91786-4052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 19/08/2019 |