Individual
DR. THOMAS R. GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1825 E FLAMINGO RD, LAS VEGAS, NV 89119-5107
(702) 798-6684
(702) 798-7203
Mailing address
1825 E FLAMINGO RD, LAS VEGAS, NV 89119-5107
(702) 798-6684
(702) 798-7203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2427
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
880266825
T.I.N.
NV
Enumeration date
04/19/2007
Last updated
07/08/2007
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