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Individual

DR. ASTRID IVETTE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4052 BALD CYPRESS WAY BIN A14, DENTAL PUBLIC HEALTH DEPT, TALLAHASSEE, FL 32399-1724
(850) 245-4444
Mailing address
4052 BALD CYPRESS WAY BIN A14, DENTAL PUBLIC HEALTH DEPT, TALLAHASSEE, FL 32399-1724
(850) 245-4444

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 22443
FL
122300000X
Dentist
DS040107
PA
1223G0001X
General Practice Dentistry
22DI02508200
NJ

Other

Enumeration date
11/19/2012
Last updated
02/17/2017
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