Individual
DR. OCTAVIO ALBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PHD.
Contact information
Practice address
800 ROSE STREET, ROOM D104, LEXINGTON, KY 40536-0297
(859) 323-1345
(859) 257-5859
Mailing address
1095 VA HEALTH SCIENCES RESEARCH BUILDING, ROOM 414, LEXINGTON, KY 40536-0305
(859) 323-0125
(859) 257-6566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9139
KY
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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