Individual
DR. SEBASTIAN GONZALEZ-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3709 MASONIC DR, ALEXANDRIA, LA 71301-3632
(318) 553-5318
Mailing address
3709 MASONIC DR, ALEXANDRIA, LA 71301-3632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6945
LA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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