| Dr Hector Gomez | |
|
1010 Broadway Ste #5 Chula Vista CA 91911 | |
| (619) 422-0800 | |
| (619) 422-3060 |
| Full Name | Dr Hector Gomez |
|---|---|
| Speciality | Dentist |
| Location | 1010 Broadway Ste #5, Chula Vista, California |
| Authorized Official Name and Position | Hector Gomez (DENTIST / OWNER) |
| Authorized Official Contact | 6194220800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hector Gomez 1010 Broadway Ste #5 Chula Vista CA 91911 Ph: (619) 422-0800 | Dr Hector Gomez 1010 Broadway Ste #5 Chula Vista CA 91911 Ph: (619) 422-0800 |
| NPI Number | 1588914956 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588914956 | NPI | - | NPPES |
| B2752302 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27523 (California) | Primary |
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