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Individual

JOCELYN GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDA

Contact information

Practice address
2604 S VERMONT AVE STE F, LOS ANGELES, CA 90007-2298
(323) 212-5495
Mailing address
2311 E IMPERIAL HWY # 373, LOS ANGELES, CA 90059-2247
(562) 417-0033

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92705
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RDA92705
CA
Enumeration date
05/16/2021
Last updated
05/16/2021
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