| Pedro Luis Gonzalez Dmd Inc | |
|
31569 Canyon Estates Dr Ste 239 Lake Elsinore CA 92532-0470 | |
| (951) 399-0900 | |
| (951) 399-0948 |
| Full Name | Pedro Luis Gonzalez Dmd Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 31569 Canyon Estates Dr Ste 239, Lake Elsinore, California |
| Authorized Official Name and Position | Eliza Lopez (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9513990900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro Luis Gonzalez Dmd Inc 31569 Canyon Estates Dr Ste 239 Lake Elsinore CA 92532-0470 Ph: (951) 399-0900 | Pedro Luis Gonzalez Dmd Inc 31569 Canyon Estates Dr Ste 239 Lake Elsinore CA 92532-0470 Ph: (951) 399-0900 |
| NPI Number | 1003307844 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003307844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 55443 (California) | Primary |
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