| Ca Gonzalez Dental Corp | |
|
620 Twelve Bridges Dr Ste 120 Lincoln CA 95648-8867 | |
| (916) 996-0384 | |
| Not Available |
| Full Name | Ca Gonzalez Dental Corp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 620 Twelve Bridges Dr Ste 120, Lincoln, California |
| Authorized Official Name and Position | Cuauhtemoc Gonzalez (PRESIDENT) |
| Authorized Official Contact | 9169960384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ca Gonzalez Dental Corp 4909 Regal Ct Rocklin CA 95765-5025 Ph: (916) 996-0485 | Ca Gonzalez Dental Corp 620 Twelve Bridges Dr Ste 120 Lincoln CA 95648-8867 Ph: (916) 996-0384 |
| NPI Number | 1992427082 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992427082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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