Individual
ANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 HARBOR CREEK PL, CHARLESTON, SC 29412-3203
(321) 277-1564
Mailing address
670 HARBOR CREEK PL, CHARLESTON, SC 29412-3203
(321) 277-1564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8446
SC
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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