Gonzales, Laurel
Gonzales, Laurel is an individual health care provider with primary practice located at 1595 Allouez Ave , Green Bay WI 54311-6267. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gonzales, Laurel can be contacted via phone (515) 570-7052.Contact Information
Primary practice address
1595 Allouez Ave
Green Bay WI 54311-6267
Phone: (515) 570-7052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 08979 | Iowa |
| Dental Providers / Dentist | 122300000X | 7017-15 | Wisconsin |
Profile Details
| NPI number | 1710221635 |
|---|---|
| LBN Legal business name | Gonzales, Laurel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Jan 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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