Individual
DR. ODY GONZALEZ-FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9757 NW 41ST ST, DORAL, FL 33178-2381
(305) 477-5299
(305) 477-5219
Mailing address
9757 NW 41ST ST, DORAL, FL 33178-2381
(305) 477-5299
(305) 477-5219
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16173
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20395
MA
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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