THOMAS R GONZALES D.D.S. NPI 1043530736

NPI Information

THOMAS R GONZALES, D.D.S. is a customized equipment durable medical equipment medical supplies in Whittier, CA. THOMAS R GONZALES, D.D.S. NPI is 1043530736. The provider is registered as an organization entity type.

The provider's business location address is:

11506 BROADWAY
WHITTIER, CA
ZIP 90601-105
Phone: (562) 695-8718

The provider's authorized official is Thomas Richard Gonzales .
The authorized official title is Dentist and has the following contact phone number (702) 798-6684.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 6/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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