Organization
LUIS MIGUEL GONZALEZ DDS PLLC
Active
Other names
32 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS MIGUEL GONZALEZ DDS (DENTIST/OWNER)
(919) 876-5236
Entity
Organization
Contact information
Practice address
3141 CAPITAL BLVD STE 107, RALEIGH, NC 27604-3378
(919) 876-5236
Mailing address
3141 CAPITAL BLVD STE 107, RALEIGH, NC 27604-3378
(919) 876-5236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8631
NC
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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