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1316560147
JORGE ALBERTO GONZALES
IOWA CITY, IA
NPI
1316560147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA RES-30585)
Enumeration Date
2020-05-27
Last Update Date
2020-07-31
Business Address
Dr. JORGE ALBERTO GONZALES DDS
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2205
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Mailing Address
Dr. JORGE ALBERTO GONZALES DDS
51300 POMERANTZ FAMILY PAV
IOWA CITY, IA 52242-1009
Phone number: 319-356-2205
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