Kelly M. Gonzales, Dds, PC
NPI #1801060660 in Georgetown, Texas
Provider Information
- NPI Number
- 1801060660
- Entity Type
- Organization
- Organization Name
- Kelly M. Gonzales, Dds, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Sep 23, 2009
Practice Location
- Address
- 1103 RIVERY BLVD
- Address 2
- STE 140
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-3034
- Phone
- (512) 864-9595
Authorized Official
- Name
- DR. KELLY MARIE GONZALES, DDS
- Title
- PRESIDENT
- Phone
- (512) 864-9595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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