Individual
ANN PRECILLA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W FLORENCE AVE, LOS ANGELES, CA 90044-6105
(323) 789-5610
Mailing address
7821 AVALON BLVD, LOS ANGELES, CA 90003-2358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110765
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
11/06/2024
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