MRS. Ilenia Elizabeth Gonzalez Gusmao
NPI #1083067870 in Salem, Massachusetts
Provider Information
- NPI Number
- 1083067870
- Entity Type
- Individual
- Name
- MRS. Ilenia Elizabeth Gonzalez Gusmao
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Jul 18, 2016
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 20 CENTRAL ST STE 111
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-3752
- Phone
- (617) 636-6591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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