Individual
DR. DALINE EFTHIN GONZALEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4015 N 15TH AVE, PHOENIX, AZ 85015-5209
(602) 248-0434
Mailing address
4015 N 15TH AVE, PHOENIX, AZ 85015-5209
(602) 248-0434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3961
AZ
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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