Provider Demographics
NPI:1700294766
Name:GABRIEL, ANTHONY PAUL (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PAUL
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 HAMNER AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2914
Mailing Address - Country:US
Mailing Address - Phone:951-256-4204
Mailing Address - Fax:
Practice Address - Street 1:1540 HAMNER AVE STE 103
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2914
Practice Address - Country:US
Practice Address - Phone:951-256-4204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2025-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA652911223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics