Individual
ANA E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12730 HAWTHORNE BLVD STE D, HAWTHORNE, CA 90250-3919
(310) 644-4000
(310) 644-3232
Mailing address
12730 HAWTHORNE BLVD STE D, HAWTHORNE, CA 90250-3919
(310) 644-4000
(310) 644-3232
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4490725
CA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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