Asiah Jeanmarie Gonzalez, LDT
Dental Therapist · La Conner, WA
Practice location
17395 Reservation RdLa Conner, WA 98257-8802
- Phone
- (360) 466-3900
NPI record
- NPI
- 1194316075
- Entity type
- Individual (Type 1)
- Enumeration date
- February 2, 2021
- Last updated
- February 2, 2021
- Certified
- February 2, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Therapist Primary | 125J00000X |
19-TDT-02 | WA |
About Asiah Gonzalez
Asiah Jeanmarie Gonzalez, LDT is a healthcare provider registered in the NPI registry with the primary taxonomy Dental Therapist (code 125J00000X). The practice location is 17395 Reservation Rd, La Conner, WA 98257-8802. The NPI number 1194316075 was assigned on February 2, 2021 and the record was last updated on February 2, 2021.
Asiah Gonzalez lists a license in the registry: #19-TDT-02 (WA) for Dental Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Asiah Jeanmarie Gonzalez, LDT?
The NPI number is 1194316075.
What is the phone number of Asiah Gonzalez?
The phone number listed for the practice location is (360) 466-3900.
Where is Asiah Gonzalez located?
17395 Reservation Rd, La Conner, WA 98257-8802.
What is the taxonomy code for Asiah Gonzalez?
The primary taxonomy code is 125J00000X – Dental Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dental Therapist providers in La Conner
- Anna Rae Degraffenreid17395 Reservation Rd
- Keana S. Cruse, LDT17395 Reservation Rd
- Sarah L. Chagnon, LDT17395 Reservation Rd