Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. YONATHAN GAMBOA
Active Sole ProprietorDental Clinic · STOCKTON, CA
Registration Details
- NPI Number
- 1336736750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2020 (5.3237966239593 yrs)
- Last Updated
- Dec 31, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
966 W MARIPOSA AVESTOCKTON, CA, 952043017Browse CA providers · Browse ZIP 95204
- Phone
- 2096439420
- Primary Specialty
-
Dental Clinic
261QD0000X
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.