Gonzalez, Edward Johann

Gonzalez, Edward Johann is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 96Th Mdg/Sgdr, Eglin Afb FL 32542-1302. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Gonzalez, Edward Johann can be contacted via phone (850) 883-8785.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 96Th Mdg/Sgdr Eglin Afb FL 32542-1302
Phone: (850) 883-8785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 23956 Texas
Dental Providers / Dentist 122300000X 23956 Texas

Profile Details

NPI number 1790920916
LBN Legal business name Gonzalez, Edward Johann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Sep 29th, 2009 - about 17 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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