Individual
DR. MICHELLE JO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1721 5TH AVE, SAN RAFAEL, CA 94901-1820
(415) 456-3893
(415) 456-4530
Mailing address
1721 5TH AVE, SAN RAFAEL, CA 94901-1820
(415) 456-3893
(415) 456-4530
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37556
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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