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Organization
WILLIE R GONZALES JR DDS PC
Active
Organization
WILLIE R GONZALES JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE R GONZALES DDS (PRESIDENT)
(281) 367-3685
Entity
Organization
Contact information
Practice address
26219 INTERSTATE 45, THE WOODLANDS, TX 77380-1903
(281) 367-3685
Mailing address
26219 INTERSTATE 45, THE WOODLANDS, TX 77380-1903
(281) 367-3685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009290002
—
TX
Enumeration date
08/04/2009
Last updated
08/04/2009
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