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Organization
JOVANI M. GONZALEZ, D.D.S., PA
Active
Organization
JOVANI M. GONZALEZ, D.D.S., PA
Active
Other names
Implant Dentistry of South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVANI MIGUEL GONZALEZ DDS (OWNER DENTIST)
(954) 394-8176
Entity
Organization
Contact information
Practice address
6809 S DIXIE HWY, WEST PALM BEACH, FL 33405-4602
(561) 585-2006
(561) 585-2018
Mailing address
6809 S DIXIE HWY, WEST PALM BEACH, FL 33405-4602
(561) 585-2006
(561) 585-2018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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