Individual
LIDICE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
625 S DUKE ST, LANCASTER, PA 17602-4509
(717) 299-6372
(717) 945-1587
Mailing address
333 N ARCH ST, LANCASTER, PA 17603-2928
(717) 299-6372
(717) 945-1587
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH070711
PA
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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