Individual
DR. MONTAGUE CHARLES GONZALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18612 WILLAMETTE DR, WEST LINN, OR 97068-1708
(503) 635-4411
(503) 635-4117
Mailing address
18612 WILLAMETTE DR, WEST LINN, OR 97068-1708
(503) 635-4411
(503) 635-4117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6677
OR
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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