Organization
DEMETRIO M GONZALEZ DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIO M GONZALEZ (DENTIST)
(361) 658-9927
Entity
Organization
Contact information
Practice address
5622 EVERHART RD, CORPUS CHRISTI, TX 78411-4905
(361) 658-9927
Mailing address
5622 EVERHART RD, CORPUS CHRISTI, TX 78411-4905
(361) 658-9927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26521
TX
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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