Individual
DR. DIEGO H. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1002 CABRA CT, INDIAN TRAIL, NC 28079-5370
(973) 610-5411
Mailing address
1002 CABRA CT, INDIAN TRAIL, NC 28079-5370
(973) 610-5411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02188900
NJ
Other
Enumeration date
03/19/2007
Last updated
03/29/2011
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