Individual
ANA JENI GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
440 W 114TH ST, NEW YORK, NY 10025-1796
(212) 523-3324
Mailing address
973 LAFAYETTE AVE, BROOKLYN, NY 11221-2301
(347) 218-2999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025536
NY
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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