Individual
DR. DAVID A GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
1919 OAKWELL FARMS PKWY, 240, SAN ANTONIO, TX 78218
(210) 824-6787
(210) 824-2652
Mailing address
1919 OAKWELL FARMS PKWY, #240, SAN ANTONIO, TX 78218-1777
(210) 824-6787
(210) 824-2652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175160401
—
TX
01
—
175160402
C DC
TX
01
—
1766422
UNITED CONCORDIA
—
01
—
89D485
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/14/2006
Last updated
11/17/2008
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