Justin D Gonzales DMD

NPI 1649436999 - Dentist - 1223G0001X

NPI Details
NPI 1649436999
Gender Male
Enumeration Date 08/05/2008
Last Updated 01/25/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
9775 SE SUNNYSIDE RD
SUITE 200
CLACKAMAS OR, 97015-5739, US
Phone (503) 655-8471
Fax (503) 794-3850
Business Location
2051 KAEN RD
SUITE 367
OREGON CITY OR, 97045-4035, US
Phone (503) 742-5300
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D9089
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According to our database, Dr. Justin D Gonzales DMD NPI is 1649436999, taxonomy code is 1223G0001X and license number is D9089, license state is located at Oregon. Justin D Gonzales DMD physically located at 9775 Se Sunnyside Rd, Clackamas OR, 97015-5739. NPI Number Justin D Gonzales DMD has the Individual type.

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1649436999 NPI number is provided on an as is basis without warranty of any kind. 1649436999 is maintained by the National Plan & Provider Enumeration System. The contents of Justin D Gonzales DMD are for informational purposes only.