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)
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.