Individual provider · Type 1 NPI

Gideon G. Evangelista, DDS

General Practice Dentistry · Los Angeles, CA

NPI number 1417167388 Active

About NPI 1417167388

Gideon G. Evangelista, DDS's National Provider Identifier is 1417167388, issued on May 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.