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NPI 1194316075

IndividualActive

Asiah Gonzalez, LDT

NPI 1194316075 · Dental Therapist · La Conner, WA

Provider details

NPI number: 1194316075
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: LDT
Sex: Female
Sole proprietor: No
License: 19-TDT-02 (WA)

Practice location

17395 Reservation Rd

La Conner, WA 98257-8802

Phone: (360) 466-3900

More WA providers

Mailing address

17395 Reservation Rd

La Conner, WA 98257-8802

Registry dates

Enumerated: 2021-02-02
Last updated: 2021-02-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Asiah Gonzalez, LDT — NPI 1194316075, La Conner, WA | NPI Central