Individual
DR. LUIS MIGUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3621 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 307-0370
Mailing address
3141 CAPITAL BLVD, STE 107, RALEIGH, NC 27604-3378
(919) 876-5236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8631
NC
Other
Enumeration date
06/27/2008
Last updated
03/11/2016
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