Individual
DR. JESUS MANUEL GONZALEZ
Active
Individual
DR. JESUS MANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
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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