Provider Demographics
NPI:1699965426
Name:BALUYUT, GEMMA FRANCISCO (DDS)
Entity type:Individual
Prefix:DR
First Name:GEMMA
Middle Name:FRANCISCO
Last Name:BALUYUT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1816 SAN ANDRES DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-7650
Mailing Address - Country:US
Mailing Address - Phone:925-642-2642
Mailing Address - Fax:925-687-9664
Practice Address - Street 1:115 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-5519
Practice Address - Country:US
Practice Address - Phone:925-642-7919
Practice Address - Fax:925-687-9664
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA508871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice