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Kelly M. Gonzales, Dds, Pc
Pediatric Dentist in Georgetown, Texas
NPI 1801060660

Kelly M. Gonzales, Dds, Pc is a Pediatric Dentist based in Georgetown, TX and is specialized in Pediatric Dentistry. Kelly M. Gonzales, Dds, Pc practices in Georgetown, TX. The NPI Number for Kelly M. Gonzales, Dds, Pc is 1801060660 and holds a License No. (Texas).

The current practice location address for Kelly M. Gonzales, Dds, Pc is 1103 Rivery Blvd, Georgetown, TX and can be reached out via phone at 512-864-9595.

Location: 1103 Rivery Blvd, Georgetown, TX, 78628-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801060660
Provider Name
Kelly M. Gonzales, Dds, Pc
Credential
Provider Entity Type
Organization
Address
1103 Rivery Blvd, Georgetown, TX, 78628-3034
Phone Number
512-864-9595
Fax Number
Provider Enumeration Date
04/14/2008
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
512-864-9595
Fax Number
person
Provider Business Mailing Address Details
Address
1103 Rivery Blvd
City
Georgetown
State
Texas
Zip
78628-3034
Phone Number
512-864-9595
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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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