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Individual

DR. PETER CHARLES GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5232 S 6TH ST, KLAMATH FALLS, OR 97603-5002
(321) 704-1974
Mailing address
5232 S 6TH ST, KLAMATH FALLS, OR 97603-5002
(321) 704-1974

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
105104
CA
1223G0001X
General Practice Dentistry
Primary
D11588
OR

Other

Enumeration date
04/05/2019
Last updated
09/16/2022
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