NPI 1386067718

Ibette Gonzalez

Practitioner Dental Assistant Covina, CA

Practice location

Address: 1406 N Azusa Ave STE C, Covina, CA 91722-1257
Phone: (626) 858-9940

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence E2343325 (CA)

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Registry record

NPI: 1386067718
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2014
Record last updated: 21 Jan 2014

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.