| Doctor Name: | GABRIELA GOMEZ |
| NPI Number: | 1043478860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DENTAL LAB TECH |
| License Number: | 11273 |
| Business Practice Address: | 1242 Salt Clay Ct Wesley Chapel, FL - 335446634 |
| Business Phone Number: | 8139900899 |
| Business Fax Number: | 8005072750 |
| Mailing Address: | 1242 Salt Clay Ct, WESLEY CHAPEL |
| State: | FL |
| Postal Code: | 335446634 |
| Phone Number: | 8134530266 |
| Fax Number: | 8005072750 |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 292200000X |
| License Number: | 11273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Dental Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A commercial laboratory specializing in the construction of dental appliances that conform to a dentist |