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Organization
JR GONZALEZ DDS, PA
Active
Organization
JR GONZALEZ DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL GONZALEZ JR. DDS (PRESIDENT)
(972) 717-0660
Entity
Organization
Contact information
Practice address
101 DECKER DR, BUILDING 200, SUITE 260, IRVING, TX 75062
(972) 717-0660
(972) 717-0663
Mailing address
101 DECKER DR, BUILDING 200, SUITE 260, IRVING, TX 75062
(972) 717-0660
(972) 717-0663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18837
TX
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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