Individual
DANIELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7950 CHERRY AVE STE 101, FONTANA, CA 92336-4023
(909) 854-5400
Mailing address
7028 DAVENPORT CT, RANCHO CUCAMONGA, CA 91701-7501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS110324
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2023
Last updated
08/27/2024
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