Individual
MARIANELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8103
(214) 828-8382
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8103
(214) 828-8382
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
F23292
TX
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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