Individual
CYNTHIA KARENA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
540 FOXWORTH AVE, LA PUENTE, CA 91744-3741
(626) 222-1505
Mailing address
540 FOXWORTH AVE, LA PUENTE, CA 91744-3741
(626) 222-1505
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
51342
CA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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