Gonzalez Professional Dental Corporation in Los Angeles - General Practice

Gonzalez Professional Dental Corporation - NPI 1558489849

Gonzalez Professional Dental Corporation is a General Practice in Los Angeles, California. Gonzalez Professional Dental Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gonzalez Professional Dental Corporation is 1558489849. The last update date is 2020-08-22.

Gonzalez Professional Dental Corporation's current location address is 2010 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 2134131283 and fax number 2134130982. The mailing address for Gonzalez Professional Dental Corporation is 2010 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gonzalez Professional Dental Corporation
Address 2010 Wilshire Blvd, Los Angeles, California
Phone Number 2134131283
Fax Number 2134130982
Sole Proprietor --
Credentials --

Authorized Official

Title or Position D.D.S.
Authorized Official Name Gonzalez Escalante Aleli
Credentials D.D.S.
Telephone Number 2134131283

NPI Number Detail

NPI Number 1558489849
Provider Enumeration Date 2007-03-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2010 Wilshire Blvd
City Los Angeles
State California (CA)
Post Code 900573507
Phone Number 2134131283
Fax Number 2134130982

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 46260
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G94018-01 CA MEDI-CAL PROVIDER NUMBER

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FAQs about Gonzalez Professional Dental Corporation

What is the unique provider identifier assigned to Gonzalez Professional Dental Corporation?

The Gonzalez Professional Dental Corporation has been issued the NPI (National Provider Identifier) 1558489849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gonzalez Professional Dental Corporation's facilities are geographically located?

The facilities of Gonzalez Professional Dental Corporation are physically situated at the following location: 2010 Wilshire Blvd, Los Angeles, CA, 900573507.

What is Gonzalez Professional Dental Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gonzalez Professional Dental Corporation is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558489849 to Gonzalez Professional Dental Corporation?

The Centers for Medicare & Medicaid Services assigned the 1558489849 to Gonzalez Professional Dental Corporation on 2007-03-26.

When was the information pertaining to Gonzalez Professional Dental Corporation most recently updated or revised?

The details related to Gonzalez Professional Dental Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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