Individual
DR. JOSE RIVAS GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3060 N LITCHFIELD ROAD, SUITE 110, GOODYEAR, AZ 85338
(623) 547-0403
(623) 935-0944
Mailing address
12550 W MODESTO DR, LITCHFIELD PARK, AZ 85340-5554
(623) 582-9522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4678
AZ
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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