| Roel Gonzalez, Dmd, Pa | |
|
1320 Wonder World Dr San Marcos TX 78666-7557 | |
| (512) 618-1383 | |
| (512) 353-1619 |
| Full Name | Roel Gonzalez, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1320 Wonder World Dr, San Marcos, Texas |
| Authorized Official Name and Position | Roel Gonzalez (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2109067077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roel Gonzalez, Dmd, Pa 1320 Wonder World Dr Ste 103 San Marcos TX 78666-7558 Ph: (210) 906-7077 | Roel Gonzalez, Dmd, Pa 1320 Wonder World Dr San Marcos TX 78666-7557 Ph: (512) 618-1383 |
| NPI Number | 1013431238 |
|---|---|
| Provider Enumeration Date | 07/30/2017 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013431238 | NPI | - | NPPES |
| 376303901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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