| Grisel Gonzalez-diaz Inc | |
|
7201 Arlington Ave Ste A Riverside CA 92503-1518 | |
| (951) 785-4200 | |
| Not Available |
| Full Name | Grisel Gonzalez-diaz Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7201 Arlington Ave Ste A, Riverside, California |
| Authorized Official Name and Position | Grisel Gonzalez-diaz (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 9517854200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grisel Gonzalez-diaz Inc 7201 Arlington Ave Ste A Riverside CA 92503-1518 Ph: (951) 785-4200 | Grisel Gonzalez-diaz Inc 7201 Arlington Ave Ste A Riverside CA 92503-1518 Ph: (951) 785-4200 |
| NPI Number | 1063609196 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063609196 | NPI | - | NPPES |
| G93596-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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