Individual
DR. KELLY MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1103 RIVERY BLVD, STE. 140, GEORGETOWN, TX 78628-3034
(903) 288-3898
Mailing address
1103 RIVERY BLVD, STE. 250, PMC 157, GEORGETOWN, TX 78628-3034
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22251
TX
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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