| NPI | 1932875697 |
|---|---|
| Former Legal Business Name | CAROLINA GONZALEZ |
| Entity Type | Organization |
| Authorized Contact | CAROLINA GONZALEZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |