DR. Theresa Sullivan Gonzales, DMD, MS
NPI #1912969502 in Charleston, South Carolina
Provider Information
- NPI Number
- 1912969502
- Entity Type
- Individual
- Name
- DR. Theresa Sullivan Gonzales, DMD, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Pathology
- Credential
- DMD, MS
- Enumeration Date
- Apr 6, 2006
- Last Updated
- Aug 31, 2016
Practice Location
- Address
- 173 ASHLEY AVENUE MSC 507
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29401
- Phone
- (843) 792-8723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
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