DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE GONZALES SLADE

Active

DR. MICHELLE GONZALES SLADE is a Dentist healthcare provider located in LAKE FOREST, California. NPI 1659918514 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAKE FOREST, CA

Registration Details

NPI Number
1659918514
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2019 (6.6800604882196 yrs)
Last Updated
Dec 10, 2019
License
104589 (CA)

Practice Information

Address
22111 TIMBERLINE WAY
LAKE FOREST, CA, 926303431
Browse CA providers · Browse ZIP 92630
Phone
7143008526
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LAKE FOREST, CA

Name Credential NPI
DR. ANTHONY ERNEST FOLLICO DDS 1568565653
BRIAN NGOC TONG DDS 1639245616
DR. FOROUD TALE-YAZDI D.D.S. 1215082672
DR. KATHY MAASOUMI D.D.S. 1407998941
MR. SHERVIN AHMADNIA DDS 1720120801
DR. WILLIAM YOUNG GREGG DDS 1568589729
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.