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Individual

ARCELIA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 836-3446
(520) 836-8807
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 836-8807

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6999
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183611
AHCCCS
AZ
01
6999
STATE LICENSE
AZ
Enumeration date
07/26/2006
Last updated
04/21/2011
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