Mr. Yonathan Gamboa
Mr. Yonathan Gamboa is a Dental Clinic/Center in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
966 W Mariposa AveStockton, CA 95204-3017
Phone: (209) 643-9420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X (CA) |
|---|
Record details
| NPI number | 1336736750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 31, 2020 |
| Last updated in NPPES | December 31, 2020 |
| Certification date | December 31, 2020 |
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