Search › California › 1223X0400X
Mauricio Gonzalez Balut, DDS, MS
NPI 1770346843 · on the registry since 2024 · sole proprietor
Practice
- Address
- 159 W Hospitality Ln Ste 100
San Bernardino, CA 92408 - Phone
- (909) 558-4960
- Organisation at this address
- Loma Linda University
Llu Faculty Dental OfficeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 11092 Anderson St, Loma Linda, CA
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-01
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