Gonzalez, Michelle Jo

Gonzalez, Michelle Jo is an individual health care provider with primary practice located at 1721 5Th Ave , San Rafael CA 94901-1820. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Gonzalez, Michelle Jo can be contacted via phone (415) 456-3893.

Contact Information

Primary practice address
1721 5Th Ave San Rafael CA 94901-1820
Fax: (415) 456-4530
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 37556 California

Profile Details

NPI number 1447378781
LBN Legal business name Gonzalez, Michelle Jo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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