Individual
DR. EMERICO GOMEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
829 E UNIVERSITY DR, MESA, AZ 85203-8042
(480) 655-8687
(480) 668-8687
Mailing address
829 E UNIVERSITY DR, MESA, AZ 85203-8042
(480) 655-8687
(480) 668-8687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056409
—
AZ
Enumeration date
04/19/2006
Last updated
07/22/2010
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