Rodolfo Gonzalez

NPI 1164791604 - Dentist - 1223S0112X

NPI Details
NPI 1164791604
Enumeration Date 12/28/2011
Last Updated 12/28/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALEJANDRO ALEJANDRO
Position BILLER
Phone (664) 973-1222
Fax
Practice Location
8800-413 VIA JUVENTUD AVE
TIJUANA BC, 22000, MX
Phone (664) 973-1222
Fax
Business Location
PO BOX 210116
CHULA VISTA CA, 91921-0116, US
Phone
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number 1127528
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According to our database, Rodolfo Gonzalez NPI is 1164791604, taxonomy code is 1223S0112X and license number is 1127528, license state is located at . Rodolfo Gonzalez physically located at 8800-413 Via Juventud Ave, Tijuana BC, 22000. NPI Number 1033115704 has the healthcare provider type.

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1164791604 NPI number is provided on an as is basis without warranty of any kind. 1164791604 is maintained by the National Plan & Provider Enumeration System. The contents of Rodolfo Gonzalez are for informational purposes only.