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Contact Information

PETER C GONZALEZ, DDS
5232 S 6TH ST
KLAMATH FALLS, OR97603-5002
 Phone: 321-704-1974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for PETER C GONZALEZ · (Male)

NPI # 1720540818
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/05/2019
Last updated 09/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 105104
  • OR License # D11588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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