Individual
OSMELL GONZALEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CARR. #5 AVENIDA CENTRAL, BAYAMON, PR 00960
(939) 225-2400
Mailing address
5304 STATION PL, CHERRY HILL, NJ 08003-2351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02916600
NJ
Other
Enumeration date
05/19/2021
Last updated
07/12/2022
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