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General NPI Number Information
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NPI Number | 1740491653
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Entity Type | Organization
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Legal Business Name | DR ALBERTO GONZALEZ DDS.,INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 910 E GRAND AVE SUITE C
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City | ESCONDIDO
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State | CA
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Zip | 92025-3430
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Country | US
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Telephone | 760-746-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 910 E GRAND AVE SUITE C
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City | ESCONDIDO
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State | CA
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Zip | 92025-3430
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Country | US
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Telephone | 760-746-2150
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERTO GONZALEZ
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Credential | DDS
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Telephone | 760-746-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 49533
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License Number State | CA
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