Gonzales, Kelly Marie
Gonzales, Kelly Marie is an individual health care provider with primary practice located at 1103 Rivery Blvd Ste. 140, Georgetown TX 78628-3034. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Gonzales, Kelly Marie can be contacted via phone (903) 288-3898.Contact Information
Primary practice address
1103 Rivery Blvd Ste. 140
Georgetown TX 78628-3034
Phone: (903) 288-3898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 22251 | Texas |
Profile Details
| NPI number | 1417128687 |
|---|---|
| LBN Legal business name | Gonzales, Kelly Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2008 |
| Last updated | Mar 17th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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