Individual
MISS VERONICA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
560 W BADILLO ST, COVINA, CA 91722-3762
(626) 331-0506
Mailing address
4470 W SUNSET BLVD, 256, LOS ANGELES, CA 90027-6302
(714) 270-0772
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64504
CA
Other
Enumeration date
07/26/2010
Last updated
11/10/2015
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