Justin Josiah Gonzalez D.D.S.

NPI 1619190832 - Dentist - 122300000X

NPI Details
NPI 1619190832
Gender Male
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
16414 SAN PEDRO AVE STE 200
SAN ANTONIO TX, 78232-2245, US
Phone (210) 499-0009
Fax (210) 499-0003
Business Location
16414 SAN PEDRO AVE STE 200
SAN ANTONIO TX, 78232-2245, US
Phone (210) 499-0009
Fax (210) 499-0003
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 22242
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According to our database, Dr. Justin Josiah Gonzalez D.D.S. NPI is 1619190832, taxonomy code is 122300000X and license number is 22242, license state is located at Texas. Justin Josiah Gonzalez D.D.S. physically located at 16414 San Pedro Ave Ste 200, San Antonio TX, 78232-2245. NPI Number Justin Josiah Gonzalez D.D.S. has the Individual type.

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1619190832 NPI number is provided on an as is basis without warranty of any kind. 1619190832 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Josiah Gonzalez D.D.S. are for informational purposes only.