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Jorge R Gonzalez, DMD Valid NPI

Individual provider · General Practice Dentistry · Rock Hill, SC

NPI
1366567539
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
8609 (SC)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-03-20
Last updated
2022-11-01
Practice location
2349 Cherry Rd Ste 49
Rock Hill, SC 29732-2132
(803) 721-9179

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