Individual
DR. THERESA ANN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN ST, ROOM 317, INDIANAPOLIS, IN 46202-5211
(317) 274-0387
(317) 274-9544
Mailing address
1121 W MICHIGAN ST, ROOM 317, INDIANAPOLIS, IN 46202-5211
(317) 274-0387
(317) 274-9544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009666
IN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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