Organization
ALICE GEMBA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN V GONZALEZ DDS (PRESIDENT)
(323) 278-0170
Entity
Organization
Contact information
Practice address
9535 GARDEN GROVE BLVD, 201, GARDEN GROVE, CA 92844-1550
(714) 855-1138
Mailing address
9535 GARDEN GROVE BLVD, 201, GARDEN GROVE, CA 92844-1550
(714) 855-1138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33928
CA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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