Individual
CALEB GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
3145 GARDEN AVE STE 1278, SAN ANTONIO, TX 78234-7719
(210) 808-3735
Mailing address
1751 BABCOCK RD APT 814, SAN ANTONIO, TX 78229-4687
(956) 536-0578
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24470
TX
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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