MEDICARE: DR. DALINE EFTHIN GONZALEZ D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3961	AZ

General Provider Information

NPI Number	:	1134186158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALINE EFTHIN GONZALEZ D.D.S.

Provider Business Mailing Address
First Line	:	4015 N 15TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-5209
Country	:	US
Telephone Number	:	602-248-0434
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 N 15TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-5209
Country	:	US
Telephone Number	:	602-248-0434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1083938153 — CRESCENT VIEW FAMILY DENTAL, LLC
Practice Location Address:

4015 N 15TH AVE
PHOENIX, AZ
85015-5209

Practice Phone: 602-248-0434
Practice Fax: 602-248-2814

1588731970 — ROSLYN MOORE
Practice Location Address:

3132 W ALTA VISTA RD
PHOENIX, AZ
85041-5209

Practice Phone: 623-873-0204
Practice Fax:

1265139141 — MINDY LYNN BECK PMHNP-BC
Practice Location Address:

1950 W HEATHERBRAE DR STE 10-1
PHOENIX, AZ
85015-5110

Practice Phone: 480-708-4125
Practice Fax: 602-443-0231

1700734480 — FRANCINE KAMGA
Practice Location Address:

5501 N 19TH AVE STE 425
PHOENIX, AZ
85015-2481

Practice Phone: 602-492-9800
Practice Fax: 602-492-9880

1740138361 — EMERGENCY GROUP OF ARIZONA PROFESSIONAL CORPORATION
Practice Location Address:

2000 W BETHANY HOME RD
PHOENIX, AZ
85015-2443

Practice Phone: 602-249-0212
Practice Fax:

1407704968 — MRS. ABIODUN A OGUNDE NP
Practice Location Address:

3120 N 19TH AVE STE 170
PHOENIX, AZ
85015-6062

Practice Phone: 602-279-8471
Practice Fax:

Directions to “ DR. DALINE EFTHIN GONZALEZ D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.