Individual
ELIZABETH GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12150 NEW YORK RANCH RD, JACKSON, CA 95642-9407
(209) 257-2460
(209) 257-2464
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
(209) 754-6274
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH24501
CA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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