P. Gonzalez DDS a Prof Corp

NPI #1447660428 in Rialto, California

Provider Information

NPI Number: 1447660428
Entity Type: Organization
Organization Name: P. Gonzalez DDS a Prof Corp
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2014
Last Updated: Apr 30, 2014

Practice Location

Address: 440 W FOOTHILL BLVD
City: Rialto
State: California
ZIP Code: 92376-4953
Phone: (909) 961-2126

Authorized Official

Name: MR. PEDRO P GONZALEZ, DDS
Title: DENTIST
Phone: (909) 961-2126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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