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Organization
WESTCHESTER DENTAL SERVICES GROUP INC
Active
Organization
WESTCHESTER DENTAL SERVICES GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA DESIREE GONZALEZ D.O. (PRESIDENT)
(786) 360-3694
Entity
Organization
Contact information
Practice address
7801 SW 24TH ST, SUITE 122, MIAMI, FL 33155-6538
(786) 360-3694
(786) 431-1522
Mailing address
7801 SW 24TH ST, SUITE 122, MIAMI, FL 33155-6538
(786) 360-3694
(786) 431-1522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN17868
STATE LICENSE
FL
Enumeration date
04/24/2013
Last updated
04/24/2013
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