Organization · Type 2 NPI

Gabriel Godinez

Periodontics · Tijuana, MX

NPI number 1760986590 Active

Practice location

Blvd Sanchez 9563 - 201
Tijuana, MX 22010

Fax (866) 272-6924

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	10301020

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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NPI record

NPI: 1760986590
Entity type: Organization (Type 2)
Issued: Mar 19, 2018
Last updated: Mar 19, 2018
Status: Active

Other names

<unavail>
Gabriel Godinez · former legal business name
Gabriel Godinez · former legal business name

Authorized official

Dr. Gabriel Godinez
Dentist
(619) 488-3200

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About NPI 1760986590

Gabriel Godinez's National Provider Identifier is 1760986590, issued on Mar 19, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tijuana, MX. The record was last updated on Mar 19, 2018.