Individual
MR. RENE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDHAP
Contact information
Practice address
4270 DONOVAN WAY, TURLOCK, CA 95382-7254
(209) 656-1988
Mailing address
4270 DONOVAN WAY, TURLOCK, CA 95382-7254
(209) 656-1988
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
438
CA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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