Jesus Manuel Gonzalez DDS

NPI 1679725196 - Dentist - 122300000X

NPI Details
NPI 1679725196
Gender Male
Enumeration Date 10/15/2008
Last Updated 04/28/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
5250 BLANCO RD
SAN ANTONIO TX, 78216-7017, US
Phone (210) 349-3368
Fax (210) 349-2473
Business Location
107 PONDEROSA DR
SWEETWATER TX, 79556-8027, US
Phone (619) 723-1550
Fax
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 24142
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According to our database, Dr. Jesus Manuel Gonzalez DDS NPI is 1679725196, taxonomy code is 122300000X and license number is 24142, license state is located at Texas. Jesus Manuel Gonzalez DDS physically located at 5250 Blanco Rd, San Antonio TX, 78216-7017. NPI Number Jesus Manuel Gonzalez DDS has the Individual type.

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1679725196 NPI number is provided on an as is basis without warranty of any kind. 1679725196 is maintained by the National Plan & Provider Enumeration System. The contents of Jesus Manuel Gonzalez DDS are for informational purposes only.