Mario G. Garibotti, DDS Valid NPI
Individual provider · Dentist · Portola, CA
- NPI
- 1750481594
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 45366 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-22
- Last updated
- 2007-07-08
Practice location
145 N Pine St
Portola, CA 96122-8415
(530) 832-4425