Individual
DR. ERIK BRIAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21 SCOTCH PINE DR, MEDFORD, NY 11763-4220
(631) 241-2139
Mailing address
124 MAIN ST, SUITE 4, HUNTINGTON, NY 11743-6922
(631) 421-9494
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
054357-1
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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