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Individual

DR. JOSE DAVID GOZALO DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS,MS

Contact information

Practice address
13065 E 17TH AVE, MAIL STOP F742, AURORA, CO 80045-2532
(303) 724-5505
Mailing address
13065 E 17TH AVE, AURORA, CO 80045-2532
(720) 226-3434
(303) 724-7079

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
10102
CO
1223P0700X
Prosthodontics
23733
TX

Other

Enumeration date
02/22/2010
Last updated
01/15/2021
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