Individual
DR. BENJAMIN D GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16155 NW CORNELL RD, STE 450, BEAVERTON, OR 97006-4810
(503) 629-5300
(503) 690-9452
Mailing address
16155 NW CORNELL RD, STE 450, BEAVERTON, OR 97006-4810
(503) 629-5300
(503) 690-9452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9376
OR
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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