Laurel Gonzales
Laurel Gonzales is a Dentist in Green Bay, Wisconsin. Licensed in Iowa and Wisconsin. Registered with an NPI since 2012.
- Licensed in
- IA, WI
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1595 Allouez AveGreen Bay, WI 54311-6267
Phone: (515) 570-7052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 7017-15 (WI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 08979 (IA) |
Record details
| NPI number | 1710221635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 15, 2012 |
| Last updated in NPPES | January 30, 2013 |
| Mailing address | 943 S Madison St, Green Bay, WI 54301-3612 |
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