# ALAN GONZALEZ DMD DENTAL CORP.

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

## Provider details

- **NPI number:** 1295272243
- **Authorized official:** DR. ALAN GONZALEZ DMD (DENTIST)
- **Authorized official phone:** (305) 495-4997

## Contact information

- **Practice address:** 3012 RIVOLI, NEWPORT BEACH, CA 92660-9027
- **Practice address phone:** (305) 495-4997
- **Mailing address:** 3012 RIVOLI, NEWPORT BEACH, CA 92660-9027
- **Mailing address phone:** (305) 495-4997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 63250 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2017
- **Last updated:** 01/29/2017