Organization
ALAN GONZALEZ DMD DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN GONZALEZ DMD (DENTIST)
(305) 495-4997
Entity
Organization
Contact information
Practice address
3012 RIVOLI, NEWPORT BEACH, CA 92660-9027
(305) 495-4997
Mailing address
3012 RIVOLI, NEWPORT BEACH, CA 92660-9027
(305) 495-4997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63250
CA
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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