# PEDRO LUIS GONZALEZ DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003307844
- **Authorized official:** MS. ELIZA LOPEZ (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (951) 399-0900

## Contact information

- **Practice address:** 31569 CANYON ESTATES DR STE 239, LAKE ELSINORE, CA 92532-0470
- **Practice address phone:** (951) 399-0900
- **Practice address fax:** (951) 399-0948
- **Mailing address:** 31569 CANYON ESTATES DR STE 239, LAKE ELSINORE, CA 92532-0470
- **Mailing address phone:** (951) 399-0900
- **Mailing address fax:** (951) 399-0948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 55443 | CA | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 05/29/2018