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Organization
RENEE LOUISE GONZALEZ, DDS, INC.
Active
Organization
RENEE LOUISE GONZALEZ, DDS, INC.
Active
Other names
Oceanfront Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE LOUISE GONZALEZ DDS (PRESIDENT/OWNER)
(619) 276-2145
Entity
Organization
Contact information
Practice address
2305 MORENA BLVD, SUITE A, SAN DIEGO, CA 92110-4166
(619) 276-2145
(619) 276-2305
Mailing address
2305 MORENA BLVD, SUITE A, SAN DIEGO, CA 92110-4166
(619) 276-2145
(619) 276-2305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49890
CA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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