Individual
MARYTZA RIOS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8110 BIRMINGHAM WAY BLDG 282ND, SAN DIEGO, CA 92123-2758
(619) 205-1950
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D011242
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2020
Last updated
11/08/2022
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