Individual
DR. LUIS DIEGO GONZALEZ AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031547
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021002865
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401415475
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
35973
TX
Other
Enumeration date
01/08/2017
Last updated
03/25/2020
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