| P. Gonzalez Dds A Prof Corp | |
|
440 W Foothill Blvd Rialto CA 92376-4953 | |
| (909) 961-2126 | |
| (909) 961-2136 |
| Full Name | P. Gonzalez Dds A Prof Corp |
|---|---|
| Speciality | Dentist |
| Location | 440 W Foothill Blvd, Rialto, California |
| Authorized Official Name and Position | Pedro P Gonzalez (DENTIST) |
| Authorized Official Contact | 9099612126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Gonzalez Dds A Prof Corp 440 W Foothill Blvd Rialto CA 92376-4953 Ph: (909) 961-2126 | P. Gonzalez Dds A Prof Corp 440 W Foothill Blvd Rialto CA 92376-4953 Ph: (909) 961-2126 |
| NPI Number | 1447660428 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447660428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46808 (California) | Primary |
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