Luisa Fernanda Gongora, DDS
NPI #1679383384 in Needles, California
Provider Information
- NPI Number
- 1679383384
- Entity Type
- Individual
- Name
- Luisa Fernanda Gongora, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 14, 2025
- Last Updated
- Jan 14, 2025
Practice Location
- Address
- 820 W BROADWAY ST
- City
- Needles
- State
- California
- ZIP Code
- 92363-2729
- Phone
- (844) 444-1424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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