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Organization
GONZALEZ PROFESSIONAL DENTAL CORPORATION
Active
Organization
GONZALEZ PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALELI ESCALANTE GONZALEZ D.D.S. (D.D.S.)
(310) 360-0767
Entity
Organization
Contact information
Practice address
426 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4108
(310) 360-0767
(310) 659-2326
Mailing address
426 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4108
(310) 360-0767
(310) 659-2326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46260
CA
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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