Michelle Jo Gonzalez, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · San Rafael, CA

NPI

1447378781

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

37556 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-26

Last updated

2007-07-08