# JOSE R. GONZALES. D.D.S. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** G dental studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689876476
- **Authorized official:** DR. JOSE RIVAS GONZALES D.D.S. (PRESIDENT)
- **Authorized official phone:** (623) 547-0403

## Contact information

- **Practice address:** 3060 N. LITCHFIELD ROAD, SUITE 110, GOODYEAR, AZ 85338
- **Practice address phone:** (623) 547-0403
- **Practice address fax:** (623) 935-0944
- **Mailing address:** 3060 N LITCHFIELD ROAD, SUITE 110, GOODYEAR, AZ 85338
- **Mailing address phone:** (623) 547-0403
- **Mailing address fax:** (623) 935-0944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4678 | AZ | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 08/22/2020