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Organization
JR GONZALEZ A DENTAL CORPORATION
Active
Organization
JR GONZALEZ A DENTAL CORPORATION
Active
Other names
HISPANO DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RICARDO GONZALEZ DDS (PRESIDENT)
(559) 896-1754
Entity
Organization
Contact information
Practice address
2775 HIGHLAND AVE, SELMA, CA 93662-3462
(559) 896-1752
(559) 896-1759
Mailing address
2775 HIGHLAND AVE, SELMA, CA 93662-3462
(559) 896-1752
(559) 896-1759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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