Individual
DR. LUIS ANTONIO GONZALEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.D.
Contact information
Practice address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787
(205) 991-2687
Mailing address
4029 GREYSTONE DR, BIRMINGHAM, AL 35242-6406
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14669
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3935
AL
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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