Provider Demographics
NPI:1710076179
Name:NARRO-GONZALEZ, CELESTE LAMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:LAMAR
Last Name:NARRO-GONZALEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 E 6TH ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4204
Mailing Address - Country:US
Mailing Address - Phone:956-969-2433
Mailing Address - Fax:956-968-9729
Practice Address - Street 1:1330 E 6TH ST
Practice Address - Street 2:SUITE #101
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4204
Practice Address - Country:US
Practice Address - Phone:956-969-2433
Practice Address - Fax:956-968-9729
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15748122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist