Individual
GWENDOLYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MAIN ST STE 302, TUCKAHOE, NY 10707-2949
(914) 633-4440
Mailing address
121 CENTRAL AVE, TARRYTOWN, NY 10591-3320
(914) 987-1159
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
031430-01
NY
126800000X
Dental Assistant
—
NY
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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