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Organization
JETCHECK 365 LLC
Active
Organization
JETCHECK 365 LLC
Active
Other names
Jet Boutique Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY GONZALEZ DMD (OWNER)
(954) 406-2569
Entity
Organization
Contact information
Practice address
500 S ANDREWS AVE STE 180, FORT LAUDERDALE, FL 33301-4435
(954) 406-2569
Mailing address
500 S ANDREWS AVE STE 180, FORT LAUDERDALE, FL 33301-4435
(954) 406-2569
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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