DR. Kelly Marie Gonzales, DDS
NPI #1417128687 in Georgetown, Texas
Provider Information
- NPI Number
- 1417128687
- Entity Type
- Individual
- Name
- DR. Kelly Marie Gonzales, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Mar 17, 2008
- Last Updated
- Mar 17, 2008
Practice Location
- Address
- 1103 RIVERY BLVD
- Address 2
- STE. 140
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-3034
- Phone
- (903) 288-3898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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