DR. Jacquelyn Miravite Gungon, DDS
NPI #1164509782 in Concord, California
Provider Information
- NPI Number
- 1164509782
- Entity Type
- Individual
- Name
- DR. Jacquelyn Miravite Gungon, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1800 MONUMENT BLVD
- Address 2
- SUITE I
- City
- Concord
- State
- California
- ZIP Code
- 94520-3870
- Phone
- (925) 798-4250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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