| Gonzalez Professional Dental Corporation | |
|
426 S San Vicente Blvd Los Angeles CA 90048-4108 | |
| (310) 360-0767 | |
| (310) 659-2326 |
| Full Name | Gonzalez Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 426 S San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Aleli Escalante Gonzalez (D.D.S.) |
| Authorized Official Contact | 3103600767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalez Professional Dental Corporation 426 S San Vicente Blvd Los Angeles CA 90048-4108 Ph: (310) 360-0767 | Gonzalez Professional Dental Corporation 426 S San Vicente Blvd Los Angeles CA 90048-4108 Ph: (310) 360-0767 |
| NPI Number | 1134347982 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134347982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46260 (California) | Primary |
Zacoalco Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
Monterey Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
James C. Castelo, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Santa Monica Blvd Ste 210, Los Angeles, CA 90029 Phone: 323-666-3852 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 |