Individual
DR. ANTONIO RAFAEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
480 SO ROSEMEAD BLVD, PASADENA, CA 91107
(626) 793-1404
(626) 793-1404
Mailing address
480 SO ROSEMEAD BLVD, PASADENA, CA 91107
(626) 793-1404
(626) 793-1404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25089
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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