Individual
DR. PATRICIO E. GONZALEZ-MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 28TH ST, DENVER, CO 80205-3003
(303) 436-4600
Mailing address
501 28TH ST, DENVER, CO 80205-3003
(303) 436-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10131
CO
1223G0001X
General Practice Dentistry
200609039343
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400246
—
CO
05
—
404915407
—
MO
Enumeration date
04/10/2007
Last updated
04/11/2018
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