Individual
DR. STEPHANIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2030 LAKE AVE, PUEBLO, CO 81004-3536
(719) 564-4823
Mailing address
7690 SUMMER WOOD VW UNIT 305, FOUNTAIN, CO 80817-1487
(956) 331-7639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206384
CO
Other
Enumeration date
06/21/2025
Last updated
06/23/2025
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