Individual
DR. JOSHUA DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4323 HILL ST, NONE, COLUMBIA, SC 29207-3562
(803) 360-6835
Mailing address
4047 ROSEWOOD DR, NONE, COLUMBIA, SC 29205-3562
(803) 360-6835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DGD.8384 GD
SC
1223G0001X
General Practice Dentistry
Primary
DGD.8384
SC
Other
Enumeration date
06/06/2014
Last updated
12/12/2023
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