NPI 1124199567

Anthony D Gonzales, DDS

Practitioner Dentist Los Lunas, NM

Practice location

Address: 219 Courthourse Rd, Los Lunas, NM 87031
Phone: (505) 865-4341
Fax: (505) 865-4954
Mailing address: PO Box 1197, Los Lunas, NM 87031-1197

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DD1351 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1124199567
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.