Dr. Michelle Gonzales Slade
Dr. Michelle Gonzales Slade is a Dentist in Lake Forest, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
22111 Timberline WayLake Forest, CA 92630-3431
Phone: (714) 300-8526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 104589 (CA) |
|---|
Record details
| NPI number | 1659918514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2019 |
| Last updated in NPPES | December 10, 2019 |
| Certification date | December 10, 2019 |
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