Individual
KATHY ANN V GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1135 VITALITY DR STE 130, HENDERSON, NV 89011-4809
(702) 359-7401
Mailing address
3664 TUNDRA SWAN ST, LAS VEGAS, NV 89122-3534
(702) 748-5158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7990
NV
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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