DR. Jose Rivas Gonzales, DDS

NPI #1881774628 in Goodyear, Arizona

Provider Information

NPI Number: 1881774628
Entity Type: Individual
Name: DR. Jose Rivas Gonzales, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3060 N LITCHFIELD ROAD
Address 2: SUITE 110
City: Goodyear
State: Arizona
ZIP Code: 85338
Phone: (623) 547-0403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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