Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
HENDRICK GONZALEZ
Active
Individual
HENDRICK GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50604
DENTAL LICENSE
CA
Enumeration date
01/19/2016
Last updated
01/19/2016
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