Individual
LYSETTE M GONZALEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 SW 3RD ST APT 4512, MIAMI, FL 33130-3385
(787) 934-5696
Mailing address
92 SW 3RD ST APT 4512, MIAMI, FL 33130-3385
(787) 934-5696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23271
FL
Other
Enumeration date
02/19/2017
Last updated
06/05/2020
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