Organization
ROY R. GONZALEZ,DDS,MSD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY R GONZALEZ DDS,MSD (ORTHODONTIST)
(210) 344-9295
Entity
Organization
Contact information
Practice address
1100 NW LOOP 410, SUITE 560, SAN ANTONIO, TX 78213-2263
(210) 344-9295
(210) 979-0348
Mailing address
1100 NW LOOP 410, SUITE 560, SAN ANTONIO, TX 78213-2263
(210) 344-9295
(210) 979-0348
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5906
TX
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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