Dr. Miguel A Gonzalez, dds
Dentist, General Practice in West New York, NJ. Individual provider (NPI-1).
NPI number1750719084
StatusActive
Last updated in NPPESOct 23, 2013
Details
- NPI
- 1750719084
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miguel A Gonzalez
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2013
- Last updated
- Oct 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19589 | NJ | Yes |
Practice location
6408 Bergenline Ave2nd Floor
West New York, NJ 07093-1660
Phone 201-662-1922
Mailing address
6408 Bergenline Ave2nd Floor
West New York, NJ 07093-1660
Phone 201-662-1922
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