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Dr. Kelly Marie Gonzales, DDS
Pediatric Dentist in Georgetown, Texas
NPI 1417128687

Kelly Marie Gonzales is a Pediatric Dentist based in Georgetown, TX and is specialized in Pediatric Dentistry. Kelly Marie Gonzales practices in Georgetown, TX and has the professional credentials of DDS. The NPI Number for Kelly Marie Gonzales is 1417128687 and holds a License No. 22251 (Texas).

The current practice location address for Kelly Marie Gonzales is 1103 Rivery Blvd, Georgetown, TX and can be reached out via phone at 903-288-3898.

Location: 1103 Rivery Blvd, Georgetown, TX, 78628-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417128687
Provider Name
Kelly Marie Gonzales
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1103 Rivery Blvd, Georgetown, TX, 78628-3034
Phone Number
903-288-3898
Fax Number
Provider Enumeration Date
03/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1103 Rivery Blvd
City
Georgetown
State
Texas
Zip
78628-3034
Phone Number
903-288-3898
Fax Number
person
Provider Business Mailing Address Details
Address
1103 Rivery Blvd
City
Georgetown
State
Texas
Zip
78628-3034
Phone Number
903-288-3898
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22251 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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