Individual
BIANCA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
150 SE 2ND AVE STE 604, MIAMI, FL 33131-1571
(305) 371-6064
Mailing address
150 SE 2ND AVE STE 604, MIAMI, FL 33131-1571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22859
FL
1223G0001X
General Practice Dentistry
DN22859
FL
Other
Enumeration date
07/17/2017
Last updated
04/18/2023
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