Individual
DR. MIGUEL A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6408 BERGENLINE AVE, 2ND FLOOR, WEST NEW YORK, NJ 07093-1660
(201) 662-1922
Mailing address
6408 BERGENLINE AVE, 2ND FLOOR, WEST NEW YORK, NJ 07093-1660
(201) 662-1922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19589
NJ
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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