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DR. EDWARD D GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-0189
(605) 742-3678
(605) 742-3887
Mailing address
1406 15TH ST N, WAHPETON, ND 58075-3519
(701) 642-8121

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
033770
CA

Other

Enumeration date
10/20/2006
Last updated
12/23/2011
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