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Organization
RGD DENTAL CORP
Active
Organization
RGD DENTAL CORP
Active
Other names
RGD DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYDEL GONZALEZ DDS (PRESIDENT)
(786) 536-7537
Entity
Organization
Contact information
Practice address
11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL 33018-4235
(786) 536-7537
(786) 534-5934
Mailing address
11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL 33018-4235
(786) 536-7537
(786) 534-5934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016573500
—
FL
Enumeration date
05/31/2016
Last updated
05/31/2016
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