Individual
DR. IVAN ALDAIR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2215 W FERN AVE, MCALLEN, TX 78501-6176
(956) 686-2813
Mailing address
3603 S FAIRMONT AVE APT D, PHARR, TX 78577-4881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35538
TX
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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