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Individual

DR. JOHN PHILLIP GONZALES

Active
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Individual

DR. JOHN PHILLIP GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1859
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001859ND
DELTA DENTAL USA
ND
05
—
041327
—
ND
01
—
23946
BLUE CROSS BLUE SHIELD
ND
01
—
949039
DENTAL SERVICE CORP.
ND
Enumeration date
03/21/2007
Last updated
03/20/2026
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