MR. Yonathan Gamboa
NPI #1336736750 in Stockton, California
Provider Information
- NPI Number
- 1336736750
- Entity Type
- Individual
- Name
- MR. Yonathan Gamboa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Dec 31, 2020
Practice Location
- Address
- 966 W MARIPOSA AVE
- City
- Stockton
- State
- California
- ZIP Code
- 95204-3017
- Phone
- (209) 643-9420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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