GABRIEL GODINEZ NPI 1760986590

NPI Information

  • NPI: 1760986590
  • Provider Name: GABRIEL GODINEZ
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Former Legal Business Name: GABRIEL GODINEZ
  • Address: BLVD SANCHEZ 9563 - 201
    TIJUANA, BAJA CALIFORNIA
    ZIP 22010
  • Phone: (619) 488-3200

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NPI Details

GABRIEL GODINEZ is a periodontics dentist in Tijuana, BAJA CALIFORNIA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GABRIEL GODINEZ NPI is 1760986590. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gabriel Godinez.

The provider's business location address is:

BLVD SANCHEZ 9563 - 201
TIJUANA, BAJA CALIFORNIA
ZIP 22010
Phone: (619) 488-3200
Fax: (866) 272-6924

The provider's authorized official is Gabriel Godinez .
The authorized official title is Dentist and has the following contact phone number (619) 488-3200.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 3/19/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics10301020Yes

What is NPI?

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This page was last updated on: 11/21/2025

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