Organization
PEDRO LUIS GONZALEZ DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZA LOPEZ (OFFICE ADMINISTRATOR)
(951) 399-0900
Entity
Organization
Contact information
Practice address
31569 CANYON ESTATES DR STE 239, LAKE ELSINORE, CA 92532-0470
(951) 399-0900
(951) 399-0948
Mailing address
31569 CANYON ESTATES DR STE 239, LAKE ELSINORE, CA 92532-0470
(951) 399-0900
(951) 399-0948
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
55443
CA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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