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Organization
R. O. GONZALEZ DDS, INC A PROFESSIONAL CORPORATION
Active
Organization
R. O. GONZALEZ DDS, INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO OSCAR GONZALEZ DDS (PRESIDENT)
(951) 672-9799
Entity
Organization
Contact information
Practice address
29798 HAUN RD, SUITE 101, MENIFEE, CA 92586
(951) 672-9799
Mailing address
29798 HAUN RD., SUITE 101, MENIFEE, CA 92586
(951) 672-9799
(951) 672-9691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33202
CA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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