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Organization
JAIME GONZALEZ DDS INC
Active
Organization
JAIME GONZALEZ DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA PATRICIA LOPEZ (BUSINESS MANAGER)
(617) 309-0291
Entity
Organization
Contact information
Practice address
1516 MAIN ST STE 106A, RAMONA, CA 92065-5242
(780) 787-0962
(760) 787-0851
Mailing address
1516 MAIN ST STE 106A, RAMONA, CA 92065-5242
(780) 787-0962
(760) 787-0851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55982
CA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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