Organization
G&G PRESTIGE FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE JULIO GONZALEZ TEJADA DMD (MANAGER)
(305) 956-8363
Entity
Organization
Contact information
Practice address
10689 WILES RD, CORAL SPRINGS, FL 33076-2014
(954) 345-3439
Mailing address
6936 LONG PINE CIR, COCONUT CREEK, FL 33073-3079
(305) 956-8363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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