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Individual

DR. EDUARDO GENTRY GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2633 VALLEYDALE RD, SUITE 250, BIRMINGHAM, AL 35244-2714
(205) 991-7797
(205) 995-9994
Mailing address
2633 VALLEYDALE RD, SUITE 250, BIRMINGHAM, AL 35244-2714
(205) 991-7797
(205) 995-9994

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4983
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31965
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/20/2006
Last updated
06/30/2008
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