Provider Demographics
NPI:1609985399
Name:GONZALEZ, GILBERTO ARMENTA (DDS)
Entity Type:Individual
Prefix:
First Name:GILBERTO
Middle Name:ARMENTA
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 MISSION STREET
Mailing Address - Street 2:SUITE 334
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-648-4333
Mailing Address - Fax:415-648-4333
Practice Address - Street 1:2480 MISSION STREET
Practice Address - Street 2:SUITE 334
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-648-4333
Practice Address - Fax:415-648-4333
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37111122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist