Gonzalez, Miriam

Gonzalez, Miriam is an sole proprietor health care provider with primary practice located at 801 North 2Nd Ave , San Luis AZ 85349. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gonzalez, Miriam can be contacted via phone (928) 627-8584.

Contact Information

Primary practice address
801 North 2Nd Ave San Luis AZ 85349
Phone: (928) 627-8584
Fax: (928) 627-8949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9492 Arizona

Profile Details

NPI number 1205389988
LBN Legal business name Gonzalez, Miriam
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2016
Last updated Jul 28th, 2016 - about 8 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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