Individual
MRS. KIMBERLY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RDH
Contact information
Practice address
201 S HARBOR BLVD, LA HABRA, CA 90631-5654
(760) 631-5000
(760) 414-3702
Mailing address
1241 N MONTEREY ST, ANAHEIM, CA 92801-1551
(714) 882-0787
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32563
CA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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