NPI 1053558882

Sandra Corona Gonzalez

Practitioner Dental Assistant Lancaster, CA

Practice location

Address: 508 W Ivesbrook Ave APT 117, Lancaster, CA 93534-2592
Phone: (661) 945-7736
Mailing address: 44558 10th St W, Lancaster, CA 93534-3333

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 71964 (CA)

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Registry record

NPI: 1053558882
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2009
Record last updated: 15 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.