Individual
MR. FRANK F GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
(623) 321-6268
Mailing address
1852 N MASTICK WAY, SUITE 4, NOGALES, AZ 85621-1063
(520) 761-2133
(520) 281-2335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5109
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491241
—
AZ
Enumeration date
11/07/2006
Last updated
01/14/2016
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