Individual
DR. WILLIAM EDWARD GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
517 CORNER ST, BRANDON, FL 33511-5718
(813) 685-0804
(813) 681-7213
Mailing address
517 CORNER ST, BRANDON, FL 33511-5718
(813) 685-0804
(813) 681-7213
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN0006377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112435
UNITED CONCORDIA
FL
Enumeration date
03/19/2007
Last updated
07/08/2007
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