ILENIA ELIZABETH GONZALEZ GUSMAO

SALEM, MA
NPI1083067870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: MA  DN1859794)
Enumeration Date2016-07-18
Last Update Date2023-08-25
Business Address
Mrs. ILENIA ELIZABETH GONZALEZ GUSMAO
20 CENTRAL ST STE 111
SALEM, MA 01970-3752
Phone number: 617-636-6591
Mailing Address
Mrs. ILENIA ELIZABETH GONZALEZ GUSMAO
228 W SHORE DR
MARBLEHEAD, MA 01945-1322
Phone number: 202-802-7337