Individual
ABIGAIL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1020 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 795-1055
Mailing address
8875 HAPPINESS RD, HARRISBURG, NC 28075-8385
(704) 254-9118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12366
DENTAL LICENSE NUMBER
NC
Enumeration date
07/12/2021
Last updated
07/12/2021
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