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Individual

DR. GABRIEL OMAR COLON GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-5860
Mailing address
1959 NE PACIFIC STREET BOX 357134, SEATTLE, WA 98195-0001

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DR61427386
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/02/2023
Last updated
07/02/2023
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