Individual
DR. JESUS MANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
5250 BLANCO RD, SAN ANTONIO, TX 78216-7017
(210) 349-3368
(210) 349-2473
Mailing address
21515 DAVIS MILL RD, GERMANTOWN, MD 20876-4419
(619) 723-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24142
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24142
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
S0161
TX
Other
Enumeration date
10/15/2008
Last updated
12/16/2020
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