Individual
DR. SHAWNEEN M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
40TH & HOLDREGE ST, LINCOLN, NE 68583-0740
(402) 472-1370
Mailing address
7000 N 16TH ST # A, LINCOLN, NE 68521-9076
(402) 805-4134
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
08450
IA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
6793
NE
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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