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Individual

DR. JONATHAN GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10818 NW 58TH ST, DORAL, FL 33178-2854
(305) 477-7601
Mailing address
727 E DILIDO DR, MIAMI BEACH, FL 33139-1239
(786) 508-8134

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27490
FL

Other

Enumeration date
06/03/2020
Last updated
06/12/2023
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