Individual
DR. CARLOS MANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
750 NW 20TH ST # G110, MIAMI, FL 33127-4618
(305) 324-6070
Mailing address
16401 NW 83RD CT, MIAMI LAKES, FL 33016-3478
(305) 450-1529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1341
FL
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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