# LUIS MIGUEL GONZALEZ DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 32 Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033525142
- **Authorized official:** DR. LUIS MIGUEL GONZALEZ DDS (DENTIST/OWNER)
- **Authorized official phone:** (919) 876-5236

## Contact information

- **Practice address:** 3141 CAPITAL BLVD STE 107, RALEIGH, NC 27604-3378
- **Practice address phone:** (919) 876-5236
- **Mailing address:** 3141 CAPITAL BLVD STE 107, RALEIGH, NC 27604-3378
- **Mailing address phone:** (919) 876-5236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8631 | NC | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014