Individual provider · Type 1 NPI

Asiah Jeanmarie Gonzalez, LDT

Dental Therapist · La Conner, WA

NPI number 1194316075 Active

Practice location

17395 Reservation Rd
La Conner, WA 98257-8802

Call (360) 466-3900 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X19-TDT-02 (WA)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

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About NPI 1194316075

Asiah Jeanmarie Gonzalez, LDT's National Provider Identifier is 1194316075, issued on Feb 2, 2021. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in La Conner, WA. The record was last updated on Feb 2, 2021.