Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ILENIA ELIZABETH GONZALEZ GUSMAO
Active Sole ProprietorMRS. ILENIA ELIZABETH GONZALEZ GUSMAO is a Pediatric Dentistry healthcare provider located in SALEM, Massachusetts. NPI 1083067870 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SALEM, MA
Registration Details
- NPI Number
- 1083067870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2016 (10.099458583718 yrs)
- Last Updated
- Aug 25, 2023
- License
-
DN1859794 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 CENTRAL ST STE 111SALEM, MA, 019703752Browse MA providers · Browse ZIP 01970
- Phone
- 6176366591
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.