Gonzalez Dental Group

NPI #1205226073 in Simi Valley, California

Provider Information

NPI Number: 1205226073
Entity Type: Organization
Organization Name: Gonzalez Dental Group
Primary Specialty: Dentist
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 2139 TAPO ST
Address 2: SUITE 101
City: Simi Valley
State: California
ZIP Code: 93063-3478
Phone: (805) 582-2571

Authorized Official

Name: MRS. MARITZA LIZBETH CEJA
Title: TREATMENT COORDINATOR
Phone: (805) 582-2571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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