Asiah Jeanmarie Gonzalez, LDT
NPI #1194316075 in La Conner, Washington
Provider Information
- NPI Number
- 1194316075
- Entity Type
- Individual
- Name
- Asiah Jeanmarie Gonzalez, LDT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Therapist
- Credential
- LDT
- Enumeration Date
- Feb 2, 2021
- Last Updated
- Feb 2, 2021
Practice Location
- Address
- 17395 RESERVATION RD
- City
- La Conner
- State
- Washington
- ZIP Code
- 98257-8802
- Phone
- (360) 466-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Therapist |
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