Individual
DR. DEMETRIO M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
345 OHIO AVE, CORPUS CHRISTI, TX 78404-1724
(361) 658-9927
Mailing address
PO BOX 30884, CORPUS CHRISTI, TX 78463-0884
(361) 658-9927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26521
TX
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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