Organization
JETCHECK 365 LLC
Active
Other names
Jet Boutique Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY GONZALEZ DMD (OWNER)
(954) 406-2569
Entity
Organization
Contact information
Practice address
500 S ANDREWS AVE STE 180, FORT LAUDERDALE, FL 33301-4435
(954) 406-2569
Mailing address
500 S ANDREWS AVE STE 180, FORT LAUDERDALE, FL 33301-4435
(954) 406-2569
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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