# DEMETRIO M GONZALEZ DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346647393
- **Authorized official:** DR. DEMETRIO M GONZALEZ (DENTIST)
- **Authorized official phone:** (361) 658-9927

## Contact information

- **Practice address:** 5622 EVERHART RD, CORPUS CHRISTI, TX 78411-4905
- **Practice address phone:** (361) 658-9927
- **Mailing address:** 5622 EVERHART RD, CORPUS CHRISTI, TX 78411-4905
- **Mailing address phone:** (361) 658-9927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 26521 | TX | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 11/19/2014