| P. Pablo Gonzalez, Dds, A Prof Corp | |
|
15952 Perris Blvd Ste E Moreno Valley CA 92551-1320 | |
| (951) 243-0282 | |
| Not Available |
| Full Name | P. Pablo Gonzalez, Dds, A Prof Corp |
|---|---|
| Speciality | Dentist |
| Location | 15952 Perris Blvd Ste E, Moreno Valley, California |
| Authorized Official Name and Position | Pedro P Gonzalez (CHEFF EXECUTIVE) |
| Authorized Official Contact | 9512430282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Pablo Gonzalez, Dds, A Prof Corp 15952 Perris Blvd Ste E Moreno Valley CA 92551-1320 Ph: (951) 243-0282 | P. Pablo Gonzalez, Dds, A Prof Corp 15952 Perris Blvd Ste E Moreno Valley CA 92551-1320 Ph: (951) 243-0282 |
| NPI Number | 1881084374 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881084374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46808 (California) | Primary |
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