Individual
DR. REFUGIO GONZALEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8131 DORADO DR, ODESSA, TX 79765-8533
(432) 272-1190
(800) 532-0728
Mailing address
13725 NORTHWEST BLVD STE 270, CORPUS CHRISTI, TX 78410-5123
(361) 992-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23919
TX
1223P0221X
Pediatric Dentistry
9957
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2008
Last updated
09/03/2020
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