Luisa Fernanda Gongora, DDS Valid NPI
Individual provider · Dentist · Needles, CA
- NPI
- 1679383384
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 111127 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2025-01-14
- Last updated
- 2025-01-14
Practice location
820 W Broadway St
Needles, CA 92363-2729
(844) 444-1424