Bulmario Medina Gonzalez, DDS, FAACP, IBO Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1932398781
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 35400 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-10-17
- Last updated
- 2007-10-17
Practice location
7950 Cherry Ave, Suite 101
Fontana, CA 92336-4022
(909) 854-5400