Individual
DR. JORGE R GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2349 CHERRY RD STE 49, ROCK HILL, SC 29732-2132
(803) 721-9179
Mailing address
2349 CHERRY RD STE 49, ROCK HILL, SC 29732-2132
(803) 721-9179
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2232
PR
1223G0001X
General Practice Dentistry
34542
TX
1223G0001X
General Practice Dentistry
Primary
8609
SC
Other
Enumeration date
03/20/2007
Last updated
11/01/2022
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