Individual
DR. JUSTIN D GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9775 SE SUNNYSIDE RD, SUITE 200, CLACKAMAS, OR 97015-5739
(503) 655-8471
(503) 794-3850
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9089
OR
Other
Enumeration date
08/05/2008
Last updated
01/25/2016
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