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Organization
VILLAGE OF DENTISTRY LLC
Active
Organization
VILLAGE OF DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO GONZALEZ DIAZ DDS (OWNER)
(954) 998-2099
Entity
Organization
Contact information
Practice address
701 N FEDERAL HWY STE 210, HALLANDALE BEACH, FL 33009-2451
(954) 998-2099
(954) 556-1799
Mailing address
701 N FEDERAL HWY STE 210, HALLANDALE BEACH, FL 33009-2451
(954) 998-2099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/25/2022
Last updated
09/03/2025
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