Search › California › Dental Clinic/Center
Yonathan Gamboa
NPI 1336736750 · on the registry since 2020 · sole proprietor
Practice
- Address
- 966 W Mariposa Ave
Stockton, CA 95204 - Phone
- (209) 643-9420
Registry record
- Primary taxonomy
- Dental Clinic/Center
261QD0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California