Individual
DENISSE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14501 S BASCOM AVE UNIT G, LOS GATOS, CA 95032-2003
(408) 371-4050
Mailing address
630 COAST RANGE DR, SCOTTS VALLEY, CA 95066-4054
(831) 332-2182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107562
CA
Other
Enumeration date
06/30/2022
Last updated
12/21/2022
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