Individual
DR. JUAN MANUEL GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4920 ATASCOCITA RD # 900, HUMBLE, TX 77346-2849
(281) 973-6220
Mailing address
4920 ATASCOCITA RD # 900, HUMBLE, TX 77346-2849
(281) 973-6220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35342
—
TX
Enumeration date
06/22/2019
Last updated
08/12/2024
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