| Willie R Gonzales Jr Dds Pc | |
|
26219 Interstate 45 The Woodlands TX 77380-1903 | |
| (281) 367-3685 | |
| Not Available |
| Full Name | Willie R Gonzales Jr Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 26219 Interstate 45, The Woodlands, Texas |
| Authorized Official Name and Position | Willie R Gonzales (PRESIDENT) |
| Authorized Official Contact | 2813673685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willie R Gonzales Jr Dds Pc 26219 Interstate 45 The Woodlands TX 77380-1903 Ph: (281) 367-3685 | Willie R Gonzales Jr Dds Pc 26219 Interstate 45 The Woodlands TX 77380-1903 Ph: (281) 367-3685 |
| NPI Number | 1891926192 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891926192 | NPI | - | NPPES |
| 009290002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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