Organization
DR. DIEGO H. GONZALEZ-ORTIZ, DDS, PLLC
Active
Other names
Supreme Dental of Wadesboro
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO H. GONZALEZ DDS (DENTIST)
(704) 465-2210
Entity
Organization
Contact information
Practice address
307 N GREEN ST, WADESBORO, NC 28170-2182
(704) 465-2210
(704) 465-2214
Mailing address
307 N GREEN ST, WADESBORO, NC 28170-2182
(704) 465-2210
(704) 465-2214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
01/18/2019
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