Alexis Louise-nicole Gonzales, | |
3452 Broidy Rd, Joint Base Mdl, NJ 08641-5305 | |
(609) 342-6467 | |
Not Available |
Full Name | Alexis Louise-nicole Gonzales |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 3452 Broidy Rd, Joint Base Mdl, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861191728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 40494 (Texas) | Secondary |
1223G0001X | Dentist - General Practice | 22DI03079800 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Alexis Louise-nicole Gonzales, 4008a Andrews Ln, Jb Mdl, NJ 08641-1116 Ph: (423) 343-3440 | Alexis Louise-nicole Gonzales, 3452 Broidy Rd, Joint Base Mdl, NJ 08641-5305 Ph: (609) 342-6467 |
Priscilla Andalia, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Joint Base Mdl, NJ 08641 Phone: 609-754-9297 | |
Dr. Jeffrey Kerper Ladine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2417 Mcguire Blvd, Joint Base Mdl, NJ 08641 Phone: 609-754-3787 |