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Organization
UNITED DENTAL
Active
Organization
UNITED DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA C GONZALEZ M.D. (OWNER)
(626) 444-5500
Entity
Organization
Contact information
Practice address
11912 VALLEY BLVD, SUITE A, EL MONTE, CA 91732-3153
(626) 444-5500
(626) 444-4041
Mailing address
11912 VALLEY BLVD, SUITE A, EL MONTE, CA 91732-3153
(626) 444-5500
(626) 444-4041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92063-01
DENTI-CAL
CA
Enumeration date
05/24/2007
Last updated
08/22/2020
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