Michelle Jo Gonzalez DDS

NPI 1447378781 - Dentist - 1223X0400X

NPI Details
NPI 1447378781
Gender Female
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1721 5TH AVE
SAN RAFAEL CA, 94901-1820, US
Phone (415) 456-3893
Fax (415) 456-4530
Business Location
1721 5TH AVE
SAN RAFAEL CA, 94901-1820, US
Phone (415) 456-3893
Fax (415) 456-4530
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 37556
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According to our database, Dr. Michelle Jo Gonzalez DDS NPI is 1447378781, taxonomy code is 1223X0400X and license number is 37556, license state is located at California. Michelle Jo Gonzalez DDS physically located at 1721 5th Ave, San Rafael CA, 94901-1820. NPI Number Michelle Jo Gonzalez DDS has the Individual type.

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1447378781 NPI number is provided on an as is basis without warranty of any kind. 1447378781 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Jo Gonzalez DDS are for informational purposes only.