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Individual

DAVID GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
608 N AVENUE K, CROWLEY, LA 70526-4514
(337) 788-0677
Mailing address
105 FESTIVAL DR, CROWLEY, LA 70526-4072

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7613
LA

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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