NPI 1194316075

Asiah Jeanmarie Gonzalez, LDT

Practitioner Dental Therapist La Conner, WA

Practice location

Address: 17395 Reservation Rd, La Conner, WA 98257-8802
Phone: (360) 466-3900

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 19-TDT-02 (WA)

Other Dental Therapist providers in Washington →

Registry record

NPI: 1194316075
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2021
Record last updated: 2 Feb 2021

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.