| P Gonzalez Dental Inc | |
|
3300 E South St Ste 204 Lakewood CA 90805-4584 | |
| (562) 740-8777 | |
| Not Available |
| Full Name | P Gonzalez Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3300 E South St Ste 204, Lakewood, California |
| Authorized Official Name and Position | Rodolfo Hernandez (ADMINISTRATOR) |
| Authorized Official Contact | 5627408777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P Gonzalez Dental Inc 3300 E South St Ste 204 Lakewood CA 90805-4584 Ph: (562) 740-8777 | P Gonzalez Dental Inc 3300 E South St Ste 204 Lakewood CA 90805-4584 Ph: (562) 740-8777 |
| NPI Number | 1871195941 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871195941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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