Organization
GONZALEZ DENTAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO P GONZALEZ (OWNER)
(305) 975-1292
Entity
Organization
Contact information
Practice address
921 SW 122ND AVE, MIAMI, FL 33184-2477
(305) 975-1292
Mailing address
1065 NW 129TH AVE, MIAMI, FL 33182-2324
(305) 975-1292
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
DL 11401
FL
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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