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Individual
DR. LYDIA LINDA GONZALEZ-VILLARREAL
Active
Individual
DR. LYDIA LINDA GONZALEZ-VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000112292
AETNA INS
TX
01
—
0003379
MANAGED DENTAL GAURD
TX
05
—
008159801
—
TX
01
—
051115
GOVT CHIP PROGRAM
TX
Enumeration date
10/05/2006
Last updated
06/13/2024
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