| David A Gonzalez Dds Inc | |
|
3013 E Main Ave Suite B Alton TX 78573-0931 | |
| (956) 583-0135 | |
| (956) 583-0836 |
| Full Name | David A Gonzalez Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3013 E Main Ave, Alton, Texas |
| Authorized Official Name and Position | David Alfonso Gonzalez (DENTIST) |
| Authorized Official Contact | 9565830135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Gonzalez Dds Inc 3013 E Main Ave Suite B Alton TX 78573-0931 Ph: (956) 583-0135 | David A Gonzalez Dds Inc 3013 E Main Ave Suite B Alton TX 78573-0931 Ph: (956) 583-0135 |
| NPI Number | 1699067033 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699067033 | NPI | - | NPPES |
| 124263004 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14858 (Texas) | Primary |
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