Individual
MRS. DESIREE ROSE GATBONTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2310 CRAVEN ST, SAN DIEGO, CA 92136-5596
(619) 556-9984
Mailing address
290 2ND AVE APT 4, CHULA VISTA, CA 91910-2960
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402208663
VA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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