| NPI | 1932396074 |
|---|---|
| Former Name | CHRISTINA R GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23442) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 23442) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2016-07-27 |