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General NPI Number Information
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NPI Number | 1083439384
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Entity Type | Organization
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Legal Business Name | DANTE GONZALES DENTAL PC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 4532 DUBLIN BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-7564
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Country | US
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Telephone | 925-828-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 466 W 4800 N STE 380
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City | PROVO
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State | UT
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Zip | 84604-6105
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Country | US
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Telephone | 435-671-1757
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DANTE ALAN GONZALES
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Credential | DMD, MSD
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Telephone | 510-334-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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