Organization
CA GONZALEZ DENTAL CORP
Active
Other names
Placer Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CUAUHTEMOC GONZALEZ DDS (PRESIDENT)
(916) 996-0384
Entity
Organization
Contact information
Practice address
620 TWELVE BRIDGES DR STE 120, LINCOLN, CA 95648-8867
(916) 996-0384
Mailing address
4909 REGAL CT, ROCKLIN, CA 95765-5025
(916) 996-0485
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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