Organization
DAVID A GONZALEZ DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALFONSO GONZALEZ DDS (DENTIST)
(956) 583-0135
Entity
Organization
Contact information
Practice address
3013 E MAIN AVE, SUITE B, ALTON, TX 78573-0931
(956) 583-0135
(956) 583-0836
Mailing address
3013 E MAIN AVE, SUITE B, ALTON, TX 78573-0931
(956) 583-0135
(956) 583-0836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124263004
—
TX
Enumeration date
05/04/2011
Last updated
05/04/2011
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