Individual
DR. EDUARDO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(619) 532-8640
Mailing address
2579 OLD QUARRY RD APT 2324, SAN DIEGO, CA 92108-2787
(619) 846-5649
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401411815
VA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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